摘要
为了解炎性肠病的治疗变迁，本文随访分析了该院１９５８～１９９４年间收治的溃疡性结肠炎１９３例，对比了前２０年和近１７年的发病情况和治疗效果。发现近１０余年诊治该病由年平均４例．上升达６．６例；但重症或转外科治疗的病例明显减少，未再出现合并肠穿孔或中毒性巨结肠病例。近９０％病人经内科治疗痊愈或好转，外科手术死亡率前２０年为４３％（９／２１），１９７８年后无１例死亡（０／６）。作者认为，近年治疗效果的提高，除一般病人体质改善外，与抗菌药物趋向完善，充分的静脉营养支持和选择恰当的手术方式有关。
aving followed up and analyzed 193 eases of ulcerative colitis from 1958 to 1994, we compared the differences between early decades and late years. The annual incidence has increased from 4 cases up to 6. 6cases per year in average. Nevertheless the severe cases that need surgical intervention decreased significantly. Neither perforation nor toxic megacolon caseshas been found in past 17 years. More than 90% caseswere cured by medicine. Operative mortality diminished from 43% in previous 20 years to zero since1978.Besides of improved health condition of patients, theeffective antibiotics, sufficient parenteral nutritionsupport and adequate surgical procedures all accountfor the better results.
出处
《中国实用外科杂志》
CSCD
1995年第9期538-539,共2页
Chinese Journal of Practical Surgery
