摘要
目的:进一步探讨先天性小肠闭锁的术式及围术期治疗原则。方法:系统回顾我院近两年间收治的小肠闭锁患儿68例,手术采用闭锁两断肠切除,端端斜形单层一期吻合术,围术期辅以周围静脉径路全静脉营养,术后4天对28例肠功能恢复不良患儿鼻饲中药复方大承气汤。结果:本组患儿术后存活56例,治愈率82.35％,疗效满意。结论:先天性小肠闭锁治疗的关键在于选择适当的手术方式以保障吻合口通畅和良好的愈合;围术期护理和治疗是决定手术成败的关键,周围静脉径路全静脉营养即便于操作和护理,又能基本上满足患儿机体营养发育的需要,是一种既安全又有效的治疗措施。中药复方大承气汤应用于术后肠功能恢复不良患儿,对闭锁远端肠功能的恢复具有帮助。
Purpose To study further the operation program and perioperactive teatment principle of congenital enteric atresia Metods 68 case of entric atresia teared from feb. 1994 to feb. 2002 were systematically analysed retrospectively. Enter-ectomy of both atresic ends and primary oblique monolayer enteroanastomosis was performed with perioperative TPN through peripheral veins 28 cases were nasally fed the Chinese herbs - Composite Major Drastic Purgative Decoction for bad recovery of intestinal function from the 4th day after operation . Results 56 cases survived opration , the cure rate was 82. 35percent Conclusion It is decisive in the teatment of enteric atresia to ennsure unobstrction and favorable healing of anastomatic staoma by choosing the proper operation procedure . The key points determinning success or failure of an operation lies in perioperation nursing and teatment. TPN through peripheral veins , being easy to oprate and nurse as wellas basically meeting the needs of body nutrition and development, is an effective safety measure. The Chinese herbs , Composite Major Drastic Purgative Decoction , used in cases with bad recovery of intestinal function is hepful to the recovery of distal intestinnal function.
出处
《河南外科学杂志》
2002年第3期7-8,共2页
Henan Journal of Surgery
关键词
先天性小肠闭锁
手术治疗
围术期
护理
复方大承气汤
Neonatal disease and malformation
Enteric atresia
Anastomosis
Surgical
Parenteral nutrition
Total (TPN)
