Decker H R, Filler D, Feustel H
MMW Munch Med Wochenschr. 1975 Feb 21;117(8):291-2.
From 1955 to 1973, 28 anus praeter or rectal perforations were observed in the Chirurgische Universitätsklinik Erlangen. Ten of these patients died. The perforation of the intestine was already noted at the time of injury in 14, in 14 it deteriorated until a peritonitis at the end of three days on the average required laparotomy. The perforations arose mainly through rectoscopy or enemas. Such everday measures need care, in particular to stop the manipulation when the patient complains of pain. If there is the slightest suspicion, visualize the point of injury with a water soluble contrast medium.
1955年至1973年期间，埃尔朗根大学外科诊所观察到28例肛门或直肠穿孔病例。其中10例患者死亡。14例患者在受伤时就已发现肠道穿孔，14例患者病情恶化，平均三天后发展为腹膜炎，需要进行剖腹手术。穿孔主要由直肠镜检查或灌肠引起。这些日常操作需要格外小心，尤其是当患者主诉疼痛时应停止操作。如果有丝毫怀疑，应使用水溶性造影剂观察损伤部位。
