Abantanga F A, Wiafe-Addai B B
Department of Surgery, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Pediatr Surg Int. 1998 Nov;14(1-2):55-8. doi: 10.1007/s003830050435.
One of the most severe complications of typhoid fever is perforation of the ileum (TPI); it is also a cause of high morbidity and mortality in endemic areas. After surgery for TPI, other complications may set in postoperatively, compounding the problem. A prospective study of 121 children who were operated upon for TPI to identify the postoperative complications showed that the most common was wound infection. The most serious were: mechanical intestinal obstruction, abdominal dehiscence, and enterocutaneous fistulae. Physicians caring for such children should be aware of these complications and their mode of presentation so as to quickly and decisively manage them to prevent more deaths.
伤寒热最严重的并发症之一是回肠穿孔（TPI）；它也是流行地区高发病率和死亡率的一个原因。TPI手术后，其他并发症可能在术后出现，使问题更加复杂。一项对121名接受TPI手术的儿童进行的前瞻性研究，以确定术后并发症，结果显示最常见的是伤口感染。最严重的并发症是：机械性肠梗阻、腹部裂开和肠皮肤瘘。护理这些儿童的医生应了解这些并发症及其表现方式，以便迅速果断地进行处理，防止更多死亡。
