先天性肠闭锁治疗的改进  

Improvement in treatment of congenital intestinal atresia

作　　者：芮有臣[1] 宫莉[1] 杨永康[1] 

机构地区：[1]蚌埠医学院附属医院小儿外科,233004

出　　处：《蚌埠医学院学报》1999年第6期404-405,共2页Journal of Bengbu Medical College

摘　　要：目的：探讨先天性肠闭锁治疗的改进。方法：对５ 例肠闭锁患儿行闭锁近端切除２０ ｃｍ ，远端切除５ ｃｍ ；用５０ 或６０ 细线一层内翻吻合；术后禁食２ 周，周围静脉营养支持；早期石蜡油灌肠。结果：５ 例均存活，疗效满意。结论：单层细线吻合有助于吻合口通畅。禁食２ 周，有利于吻合口愈合。早期灌肠有助于闭锁远端肠蠕动恢复。Objective:To improve the curative effect of congenital intestinal atresia.Methods:Surgical operation were performed on 5 cases with congenital intestinal atresia with resection of segment 20 cm proximal and 5 cm distal to the atresia,and simply layer end to end suture was made with fine silk.The patients were fasting for two weeks after operation,fluid infusion and paraffinum enema were given.Results:All 5 cases survived and results were favorable.Conclusions:In this operation fine silk suture is used for anastomosis,fasting for 2 weeks is favorable for healing,paraffinum enema helps intestinal peristalsis.

关 键 词：肠闭锁 吻合术 先天性 改进 

分 类 号：R726.1[医药卫生—儿科]