十二指肠外瘘24例临床分析  

The Clinical Analysis of 24 Cases of Patients with Duodenal Fistula

作　　者：李玉阁 

机构地区：[1]巴彦县德祥乡卫生院,黑龙江巴彦151802

出　　处：《中国卫生标准管理》2014年第21期101-103,共3页China Health Standard Management

摘　　要：目的探讨十二指肠外瘘发生诊断治疗及预防。方法选取2012年6月~2014年6月收治的十二指肠外瘘患者24例,手术为清除肠瘘而施行的修补、切除术。结果 24例十二指肠外瘘患者中,手术后并发症22例,外伤所致2例。保守治疗瘘口关闭12例,手术治疗11例患者均获治愈,死亡1例。结论确定性手术时机的选择主要取决于腹腔感染的控制、营养状况改善及主要器官功能状况。由于患者情况不一,手术距瘘发生时间可存在很大差异,手术时机的选择应个体化。Objective The diagnosed treatment of and precaution for duodenal fistula to be investigated. Methods Making a selection 24 cases of patients with duodenal fistula who are treated in hospital from June 2012 to June 2014,all the cases of patients are operated with repair and resection surgery for curing duodenal fistula. Results Of all the 24 cases of patients,22 cases of patients have surgical complications and 2 cases of patients get complications caused by trauma.12 cases of patients utilize conservative treatment,while,11 cases of patients utilize surgical treatment to cure fistula closure.All of them are cured,only one case of patient is dead. Conclusion The surgical timing depends on the control of abdominal infection,nutritional condition and main organs functional condition.Since the patients situation are distinguished from each other and the interval between the operation and illness relapse is in diversity,therefore,the surgical timing should be individualized.

关 键 词：十二指肠外瘘 手术治疗 非手术治疗 

分 类 号：R656.64[医药卫生—外科学]