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肠坏死临床分析

Clinical Analysis of Bowel Necrosis

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【作者】 朱长举李福琴王万鹏刘海燕朱志强刘保池张宏涛

【Author】 ZHU Changju,LI Fuqin,WANG Wanpeng,et al Department of Emergency,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China

【机构】 郑州大学第一附属医院急诊科

【摘要】 目的探讨肠坏死的诊断与治疗特点。方法回顾分析我科2001年6月~2007年6月收治的60例肠坏死患者的临床资料,手术方式为坏死肠段切除+肠吻合术或肠造瘘术。结果手术成功率100%,术后死亡5例,近期复发并二次手术2例,出现短肠综合征者7例,治愈率91.7%。结论肠坏死病情凶险,并发症多,早期剖腹探查至关重要,肠坏死切除吻合及术后抗凝治疗效果确切。

【Abstract】 Objective To approach the diagnosis and treatment of bowel necrosis.Methods Retrospectively analyze the clinical data of 60 bowel necrotic patients in the emergency department of the first affiliated hospital of Zhengzhou university during 2001~2007,the operation mode was intestinal resection + intestinal anastomosis or fistulization.Results The operation success ratio was 100%,5 patients died post-operation,2 patients recurrenced and reoperatated,7 patients appeared short bowel syndrome,the curative rate was 91.7%.Conclusion The bowel necrotic patients’ conditions were very severe,which accompanied with lots of complications.Operation in the early stages was very important.Intestinal resection and post-operation anticoagulant was a effective way.

【关键词】 肠坏死肠切除术诊断
【Key words】 Bowel necroticIntestinal resectionDiagnosis
  • 【文献出处】 医药论坛杂志 ,Journal of Medical Forum , 编辑部邮箱 ,2008年15期
  • 【分类号】R656.7
  • 【被引频次】2
  • 【下载频次】117
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