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结肠伤一期处理的实验研究 被引量:4

Primary Suture in Colonic injury-An Experimental Study
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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.
机构地区 成都军区总医院
出处 《中华创伤杂志》 CAS 1986年第2期102-103,共2页 Chinese Journal of Trauma
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  • 2吴阶平 裘法祖 等.黄家驷外科学(第5版)[M].北京:人民卫生出版社,1997.548. 被引量:28
  • 3黄志强.现代基础外科学[M].北京:人民军医出版社,1991.409. 被引量:7
  • 4Grahamim maleok kl combinal pamreaduodrnsl imfes itranma. 1979.19:340 被引量:1
  • 5吴阶平.黄家驷外科学[M]5版[M].北京:人民卫生出版社,1994.1123. 被引量:33
  • 6吴阶平 裘法祖主编.黄家驷外科学[M].北京:人民卫生出版社,1979.878-880. 被引量:15
  • 7顾寿年 于泽平 黎介寿.腹膜炎手术中腹腔冲洗的效果和不同冲洗液冲洗后对机体的影响[J].中华实验外科杂志,1998,3:19-19. 被引量:1
  • 8许伦详.闭合性腹部损伤早期诊断及手术时机.创伤杂志,1988,:253-253. 被引量:4
  • 9王吉普.胃肠外科学[M].北京:人民卫生出版社,2000:1160-1162. 被引量:5
  • 10周正东.直肠破裂的诊断与外科处理.中国肛肠病杂志,1987,7:18-18. 被引量:1

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