摘要
横断犬的结肠,伤后6小时腹腔内注射抗生素液,伤后十二小时进行同样的手术和不同的术中术后治疗。实验结果表明:①犬的主要死因是膜腹炎,败血症;②犬结肠伤一期缝合后发生吻合口漏者较人的少。
Complete transverse section of descending colon was done in 44 dogs. In the first group (20 dogs), the colon was rapidly prepared by thorough cleansing. The severed ends were anastomosed by interrupted end-end mucosal and seromuscular suture. The abdominal cavity was thoroughly washed and drained. Broad spectrum antibiotics both intravenously and intraperitoneally were given. The mortality after operation was 10%. No anastomotic leak was found. The second group (24 dogs) was further divided into 4 subgroups. In each subgroup, one item of the treatments above mentioned was omitted. The total motality of this group was 41.6%. Leakage of anastomosis was found in one dog in the 7th day after operation. It is concluded that the chief cause of death in primary closure of colon injury is peritonitis associated with septicemia. The incidence of anastomotic leak is much less in the dog than in the human It is because of the deferences of anatomy and histology of the colon in the two species.
出处
《中华创伤杂志》
CAS
1986年第2期102-103,共2页
Chinese Journal of Trauma