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肠穿孔患者术后诊断为克罗恩病19例
19 Cases of Corhn’s Disease Diagnosed After Postperative of Enterobrosis
【摘要】 目的总结分析克罗恩病患者肠穿孔的治疗方法及手术后并发症。方法回顾分析19例手术后病检确诊为克罗恩病并肠穿孔患者的临床资料。结果19例术后病检为克罗恩病并肠穿孔患者入院后即急诊手术,术中发现为小肠穿孔,术后并发症为手术切口感染6例、肠漏4例、炎性肠梗阻6例、死亡3例。结论克罗恩病致肠穿孔无明显的特异性,手术治疗是唯一抢救患者生命的有效方法;肠漏是易发生的严重并发症;伤口感染、炎性肠梗阻是其常见的并发症;死亡是最严重的并发症。
【Abstract】 Objective To analyze the treatment of enterobrosis and postoperative complication of Corhn’s disease.Methods The clinical data of 19 cases of Corhn’s disease and intestinal perforation diagnosed postoperatively by biopsy was analyzed retrospectively.Results The 19 cases were all underwent emergency operation,enteric perforation was found in all operations.Postoperative complicaton include 6 cases of infection of Operation Notch,4 cases of intestinal fistula,6 cases of inflammatory ileus and 3 cases died.Conclusion Corhn’s disease causing intestinal perforation had no obvious specificity,surgical treatment is the only effective method to save patitent’s life;casesintestinal fistula was the severe complication easily occurred;infection of Operation Notch and inflammatory ileus were common complications;death was the most severe.
【Key words】 crohn’s disease; inflammatory bowel disease; intestinal perforation;
- 【文献出处】 南华大学学报(医学版) ,Journal of University of South China(Medical Edition) , 编辑部邮箱 ,2009年04期
- 【分类号】R656.7
- 【下载频次】87