急性坏死性小肠炎中转手术治疗体会  

The analysis of transferring operation of acute necrotizing enteritis

作　　者：范正猛 陆寿耆 

机构地区：[1]江苏省盐城市第一人民医院,江苏盐城224001

出　　处：《河北医学》2001年第1期59-61,共3页Hebei Medicine

摘　　要：目的 :总结急性坏死性小肠炎的中转手术治疗体会。方法 :对我院 1980 .5～ 1999.5急性坏死性小肠炎 2 3例由内科治疗而中转手术进行回顾性分析。结果 :存活 16例 ,成活率 6 9.6 % ,死亡 7例 (死于中毒性休克多器官衰竭 4例 ,高热抽搐 1例 ,肠瘘出血 2例 )。结论 :在内科治疗过程中具有下列条件中转手术 :1严重腹胀 ;2腹膜刺激症状 ;3出血量多 ;4机械性肠梗阻。剩余的短肠行小肠倒置术和“6”形 ,“9”形小肠吻合术。强调具有上述指征 ,及早手术处理 。Objective:[WT5BZ]To summarize the experience of operation of acute necrotizing enteritis.[WT5HZ]Methods [WT5BZ]23 cases transferring operation of acutenecrotizing enteritis from medical cure were retrospectively reviewed in our hospital from may 1980 to may 1999.[WT5HZ]Results:[WT5BZ]16 cases (69.6%) survived,7 cases died (4 cases died of toxic shock,one case died of febrile convulsion,2 cases died of intestinal fistula hemorrhage).[WT5HZ]Conclusion:[WT5BZ]Transferring operations in medical treatment include the following condition:①serious abdomen bulge;②peritoneum stimulating symptom③massive hemorrhage;④mechanicalileus;small intestine inversion operation using remaining intestine,shape 6 and shape 9 small intestine anastomosis,timely surgical treatment is the key to increase survival rate. [WT5HZ]

关 键 词：中转手术 急性坏死性小肠炎 治疗 

分 类 号：R656.7[医药卫生—外科学]