摘要
目的 探讨肠伤寒穿孔的诊断及治疗方法。方法 对 1978～ 1998年收治的 30例肠伤寒穿孔病人的临床资料进行回顾性分析。结果 30例均行急诊剖腹探查 ,穿孔修补16例 ,肠切除、肠吻合术 9例 ,肠外置术 5例。术后切口感染裂开 2例 ,肺部感染 1例 ,中毒性心肌炎 1例 ,肠瘘 4例。治愈 2 6例 ,死亡 4例 ,死于脓毒性休克 1例 ,肠瘘全身衰竭 3例。结论 强调早期诊断 。
Objective To study the diagnosis and treatment of typhoid intestinal perforation(TIP). Methods The clinical data of 30 cases of TIP treated in our hospital from 1978 to 1998 were retrospectively analysed. Results All 30 cases were performed emergency laparotomy exploration. Of them, 16 cases underwent suture of the perforation, 9 enterectomy and intestinal anastomosis, and 5 exteriorization of intestine. After operation, 2 cases had infection and disruption of incisional wound, 1 pulmonary infection, 1 toxic myocarditis and 4 intestinal fistula. 26 cases curred, 4 cases died including toxic shock in 1 case, intestinal fistula and concomitant asthenia universalis in 3 cases. Conclusions Early diagnosis, early operation and choosing suitable operative procedure are important to reducing the mortality of TIP.
出处
《中国普通外科杂志》
CAS
CSCD
2001年第6期531-533,共3页
China Journal of General Surgery
关键词
伤寒
并发症
肠穿孔
诊治
TYPHOID/compl
INTESTINAL PERFORATION/etiol
