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[弥漫性粪性腹膜炎。30例病例的病因及治疗探讨(作者译)]

[Generalised fecal peritonitis. Etiopathogenic and therapeutic considerations in 30 cases (author's transl)].

作者信息

Hollender L F, Meyer C, Calderoli H, Zavaletta D

出版信息

J Chir (Paris). 1977;113(4):327-36.

PMID:874005
Abstract

The authors analyse a series of 30 cases of generalised fecal peritonitis which represents a less frequent form of peritoneal infection. The etiology was mainly diverticular perforation (50 p. cent) or neoplasia (25 p. cent). The mortality was high (63 p. cent). It seems, in the light of the results, that the best treatment consists of operating in two stages, the first being the eradication of the colonic lesion which should be carried out as a routine without attempting immediate anastomosis. Wide drainage with peritoneal lavage and the use of "noxythioline" may improve the results of a disease which always remains very severe.

摘要

作者分析了30例全身性粪性腹膜炎病例,这是一种较罕见的腹膜感染形式。病因主要是憩室穿孔(50%)或肿瘤(25%)。死亡率很高(63%)。根据结果来看,最佳治疗方法似乎是分两阶段进行手术,第一阶段是根除结肠病变,应按常规进行,不尝试立即吻合。广泛引流并进行腹膜灌洗以及使用“诺西硫脲”可能会改善这种始终非常严重的疾病的治疗效果。

相似文献

1
[Generalised fecal peritonitis. Etiopathogenic and therapeutic considerations in 30 cases (author's transl)].[弥漫性粪性腹膜炎。30例病例的病因及治疗探讨(作者译)]
J Chir (Paris). 1977;113(4):327-36.
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[The single-stage surgery of perforated colon carcinoma. Our experience of 46 cases].[穿孔性结肠癌的一期手术。我们46例的经验]
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[Treatment of diffuse fecal peritonitis in perforated cancer of the colon].[结肠癌穿孔所致弥漫性粪性腹膜炎的治疗]
Khirurgiia (Mosk). 1977 Oct(10):95-8.
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[Surgical methods in non-traumatic perforations of the colon into the free peritoneum (36 cases)].[结肠非创伤性穿孔进入游离腹膜的手术方法(36例)]
J Chir (Paris). 1975 Mar;109(3):281-92.
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Surgical treatment of the perforated colon with peritonitis.伴有腹膜炎的结肠穿孔的外科治疗。
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[Perforated diverticular disease of the left colon. Proposed single-stage left colectomy protected by a three-way lavage and active aspiration tube (di Gullino) positioned inside or below the anastomosis. Experience in 65 cases].[左半结肠穿孔性憩室病。建议采用单阶段左半结肠切除术,通过置于吻合口内部或下方的三腔冲洗及主动吸引管(迪古利诺管)进行保护。65例经验]
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[Primary peritonitis of colonic origin].[结肠源性原发性腹膜炎]
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[Diverticular disease: When to operate?].[憩室病:何时进行手术?]
Ther Umsch. 1991 Jul;48(7):480-7.
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[Twenty cases of non-traumatic colonic perforations with peritonitis. A plea for the immediate treatment of the perforation and its cause].[20例非创伤性结肠穿孔伴腹膜炎。呼吁对穿孔及其病因进行立即治疗]
Ann Chir. 1973 Feb;27(2):183-90.
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[Treatment of endoscopic colonic perforations by anastomosis in non exclusive lateral colostomy].非单纯性侧方结肠造口吻合术治疗内镜下结肠穿孔
J Chir (Paris). 1994 Dec;131(12):554-7.

引用本文的文献

1
Planned relaparotomies in the surgical treatment of severe generalized peritonitis from intestinal origin.肠道源性严重弥漫性腹膜炎外科治疗中的计划性再次剖腹手术
World J Surg. 1983 Nov;7(6):762-6. doi: 10.1007/BF01655218.