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[胃部手术后的早期再次剖腹术]

[Early relaparotomy after operations on the stomach].

作者信息

Petrov V P, Badurov B Sh, Karandin V I

出版信息

Vestn Khir Im I I Grek. 1994 May-Jun;152(5-6):16-21.

PMID:7740678
Abstract

The analysis of intraperitoneal complication having developed after operations on stomach has been carried out. For these complications 104 patients (9.1%) have undergone relaparotomy. The most frequent causes of relaparotomy appeared to be peritonitis (47.1%), adhesive obstruction (12.5%) and pancreonecrosis (11.5%). For recent 10 years such complications as peritonitis and adhesive obstruction are met rarely that resulted in lowering of relaparotomy cases to 6.2%. Distinct relation between the type of operation carried out and the frequency of development of postoperative intraperitoneal complications has been noted. Diagnostic defects and intraperitoneal complication treatment were revealed in 26% of cases. Lethality in this group of patients was 92.6%. Early diagnostics and adequate treatment of occurring intraperitoneal complications have been found to be one of the best methods of improvement of stomach surgery results.

摘要

对胃手术后发生的腹腔内并发症进行了分析。因这些并发症,104例患者(9.1%)接受了再次剖腹手术。再次剖腹手术最常见的原因似乎是腹膜炎(47.1%)、粘连性肠梗阻(12.5%)和胰腺坏死(11.5%)。在最近10年里,腹膜炎和粘连性肠梗阻等并发症很少见,这使得再次剖腹手术病例减少到6.2%。已注意到所实施的手术类型与术后腹腔内并发症发生频率之间存在明显关联。在26%的病例中发现了诊断缺陷和腹腔内并发症治疗情况。该组患者的死亡率为92.6%。已发现对发生的腹腔内并发症进行早期诊断和适当治疗是改善胃手术结果的最佳方法之一。

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