【摘要】 目的　为探讨术后消化道瘘发生的病因 ,寻找诊断及治疗方法。方法　以术后消化道瘘 6 2例 ,对其发生率、发生时间、临床表现及原因进行分析。结果　发生率占同期消化系手术的0 .4 9% ,术后至发生消化道瘘的时间平均 4 .6d。 6 9.4 %是由医源性损伤所造成的 ,再次手术 2 3例 ,占 37.1% ,全组死亡 19例 ,死亡率 30 .7%。老年人术后消化道瘘发生率显著高于成年人 (P <0 .0 1)。结论　加强责任感 ,是预防消化道瘘的关键。加强围手术期营养支持 ,控制血糖 ,及时、彻底的引流是降低死亡率的关键更多还原

【Abstract】 Objective To explore the etiology, diagnosis and treatment of patients with postoperative digestive tract fistula.Methods Incidence, onset time from operation to digestive tract fistula, clinical manifestations and causes were analyzed in 62 patients with postoperative digestive tract fistula.Results The incidence of postoperative digestive tract fistula was 0.49% in all patients receiving digestive tract operation. The mean onset time was 4.6 days postoperatively. 69.4% cases of postoperative digestive tract fistula were caused by iatrogenic injury. Second operative percentage was 37.1% . The mortality was 30.7% . The incidence of postoperative digestive tract fistula in the old patients was much higher than in the adults ( P < 0.01 ).Conclusions Intensive care was the key to prevent the patients from digestive tract fistula. Nutritional support during perioperative period, controlling blood glucose and completely drainage were the keys to reduce the mortality.更多还原