| 洪维聪 翁建丰 胡耿东 罗仕达 王冲杰.外伤性肠穿孔诊治临床分析[J].实用中西医结合临床,2008,(1):65-66 |
| 外伤性肠穿孔诊治临床分析 |
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| DOI： |
| 中文关键词: 外伤性肠穿孔 诊断 治疗 |
| 英文关键词: Traumatic intestinal perforation Diagnosis Treatment |
| 基金项目: |
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| 中文摘要: |
| 目的：总结外伤性肠穿孔的诊治方法及经验。方法：对我院1997年1月~2005年l2月外伤性肠穿孔70例患者进行回顾性分析。结果：70例患者均进行剖腹探查，进行一期肠修补50例，肠部分切除肠吻合术16例，肠吻合外置4例。术后一期愈合64例，切口感染5例，死亡1例；未发生腹腔脓肿、肠瘘。结论： 早期诊断、早期手术、正确的手术方式、有效胃肠减压、腹腔引流、术后早期应用抗生素、静脉营养药物，是影响肠穿孔治疗效果的主要因素。 |
| 英文摘要: |
| Objective: To summarize the experience of diagnosis and treatment of traumatic intestinal perforation．Methods: 70 patients with traumatic intestinal perforation from Jan 1997 to Dec 2005 and clinical data were analyzed retrospectively in our hospital．Results: Of all 70 patients were treated with exploratory laparotomy．Managements included primary repair of intestines in 50 patients，part resection and anastomosis in 16 patients，intestinal anastomosis-exteriorization in 4 patients. Postoperative results revealed primary healing in 64 patients，incision infection in 5 patients，death in 1 patient；there was no postoperative intra-abdominal abscess and intestinal fistula．Conclusion: It is important for the treatment of traumatic intestinal perforation to make earlier diagnosis，prompt and proper surgical operation，effective gastrointestinal decompression and intraperitoneal drainage，earlier anti-inflammation and nutrition. |
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