Brunet C, Gregoire R, Thirion X, Ugarte S, Farisse J
Service de Chirurgie générale et Urgences, Hôpitaux Sud, Marseille.
J Chir (Paris). 1994 Nov;131(11):501-4.
Fifty six patients, 26 men (69.7 +/- 11.2 years) and 30 women (77.4 +/- 9.2 years) were admitted in the emergency unit for diverticulosis sigmoiditis. In 75% of cases an other pathology was associated. Excepted 11 extended peritonisis, 7 criterae of operation were required to operate on 17 men and 18 women (mean age = 73.7 +/- 12.5 years) in a delay less than 8 days. Reasons were: 12 occlusive forms, 9 peri-sigmoidis abcedations, 3 hemorrhages. Surgical procedures were: 11 Hartmann procedures, 21 resections with anatomosis of the sigmoid colon with 10 non protected and 3 subtotal colectomy. Postoperative mortality was been 11.4%. The global rate of complications was 28.5 and the mean hospital stay was 18.8 +/- 6.3 days. Application of operative criteriae is usefull to shorter significantly the delay of operation and then the length of evolution of the intraperitoneal infection site.
56例患者因乙状结肠憩室炎入住急诊室，其中男性26例（69.7±11.2岁），女性30例（77.4±9.2岁）。75%的病例合并有其他病变。除11例广泛性腹膜炎外，17名男性和18名女性（平均年龄=73.7±12.5岁）在不到8天的时间内需要满足7项手术标准才能进行手术。原因包括：12例梗阻性病变、9例乙状结肠周围脓肿、3例出血。手术方式包括：11例Hartmann手术、21例乙状结肠切除吻合术（其中10例未行保护、3例次全结肠切除术）。术后死亡率为11.4%。总体并发症发生率为28.5%，平均住院时间为18.8±6.3天。应用手术标准有助于显著缩短手术延迟时间，进而缩短腹腔感染部位的病程。
