摘要
目的:探讨急性癌性结肠梗阻的诊断、围手术处理及一期手术治疗.方法:回顾分析以急性肠梗阻或急性阑尾炎为第一诊断收治的结肠癌29例,围手术期使用足量抗生素预防治疗腹部感染,术中行肠减压、灌洗,术野局部使用抗生素,一期或二期手术切除吻合.结果:全部治愈,无吻合口瘘及其他并发症.结论:急性癌性结肠梗阻经完善围手术期和术中处理,一期手术切除吻合是安全可行的.
Objective;Discusses the acute cancerous colon obstruction the diagnosis, encircles surgery processing and an issue of surgery treats, Methods;The review analysis take the acute intestinal obstruction or the acute appendicitis as the first diagnosis admitting colon cancer 29 examples encircles the surgery time to use the full quantity antibiotic prevenlion treatment abdomen infection,in the technique the good intestines reduced pres sure,fills washes, lhe technique wild partial use antibiotic,issue of or two issue of surgeries excise tally. Resnlts^Cures completely, not kisses the hea fistula and other complications. Conclusion:The acute cancerous colon obstruction encircles in the surgery time and the technique after the consumma tion processes, an issue of surgery excises tallies is safe feasible.
出处
《按摩与康复医学》
2010年第36期60-61,共2页
Chinese Manipulation and Rehabilitation Medicine
关键词
结肠肿瘤
肠梗阻
结肠造口术
结肠灌洗
阑尾炎误诊
The colon tumor Intestinal obstruction Colon ostomy Colon fills washes The appendicitis to misdiagnose