摘要
目的:探讨外伤性结肠、直肠破裂等的诊断和处理方法,提高确诊率和治疗成功率。方法:回顾性分析1995年6月～2005年6月期间113例结肠、直肠破裂患者的临床资料。结果:早期确诊103例,110例结肠、直肠破裂采用一期手术治疗效果满意。结论:早期诊断,早期治疗,术中应用全胃肠道灌洗,腹腔清创,术后上下双管减压,结合营养评估营养支持,限制性液体复苏,合理应用抗生素等,结肠、直肠破裂一期手术治疗是可行的。
Objective： To investigate the diagnosis and treatment in traumatic colorectum rupture to increase both correct diagnosis and cure rate. Methods： The clinical data of 113 patients with colorectum rupture were reviewed retrospectively from June 1995 to June 2005. Results： 103 cases were diagnosed in earlier period. Primary surgical treatments were preformed in 110 patients with colorectum rupture and the results were satisfactory. Conclusions：Primary surgery treatment based on the conditions below is applicable： earlier diagnosis and treatment, applying pandigestive duct lavage, peritoneal debridement, post-operative double-duct decompression, combining nutrition evaluation and nutrition support, restrained infusion resuscitation, proper application of antibiotic.
出处
《岭南急诊医学杂志》
2006年第5期351-352,共2页
Lingnan Journal of Emergency Medicine
关键词
结肠
直肠
破裂
诊断
治疗
colon
rectum
rupture
diagnosis
treatment
