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腹部手术后肠瘘35例临床分析

Treatment of Intestinal Fistula After Abdominal Operation: 35 Case Reports

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【作者】 章兰娟

【Author】 ZHANG Lan-juan(Changhua People’s Hospital,Lin’an,Zhejiang Hangzhou 311321,China)

【机构】 临安市昌化人民医院外科

【摘要】 目的探讨对腹部手术后肠瘘的临床特点。方法回顾性分析2001年1月—2010年12月间本院收治的35例腹部手术后肠瘘患者的临床资料,并复习相关参考文献。结果 35例患者治愈30例(85.7%),死亡5例(14.3%),其中行保守治疗25例,22治愈,3例死亡;手术治疗10例,8例治愈,2例死亡。5例死亡者4例死于腹腔感染。结论对肠瘘患者要坚持个体化治疗原则,大多经积极保守治疗可以治愈,部分患者早期行确切性的手术也是可行的。

【Abstract】 Objective To explore the clinical characteristics of intestinal fistula after abdominal operation.Methods 35 cases of intestinal fistula after abdominal operation from 2001 January—2010 December were retrospectively analyzed by clinical data,and the related references were reviewed.Results 8/10 cases were cured and 2/10 cases were dead after operation;22/25 cases were cured and 3/25 cases were dead after conservation treatment.5 cases of death in 4 cases died of Infection of abdominal cavity was the main cause of death(4/5).Conclusion The treatment of intestinal fistula should be based on individualized disease condition.Positive conservative therapy is the most common treatment of intestinal fistula diseases.

【关键词】 肠瘘营养支持腹腔感染治疗
【Key words】 Fistulanutritionabdominal infectiontreatment
  • 【文献出处】 健康研究 ,Health Research , 编辑部邮箱 ,2012年02期
  • 【分类号】R656
  • 【被引频次】3
  • 【下载频次】75
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