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胃肠道手术后肠外瘘42例临床分析(论著)

2009-11-28 www.100md.com A +

摘要:目的:探讨肠外瘘的诊断及治疗措施。方法:对我院收治术后肠外瘘42例的临床资料进行回顾性分析。结果:手术治疗3例,其余39例采用非手术治疗。死亡2例,其余40例痊愈出院,治愈率为95%。结论:保持引流通畅,合理胃肠内、外营养、加强抗感染治疗,是非手术治疗肠外瘘的关键,大部分肠外瘘病人可以通过非手术治疗治愈。

关键词:肠外瘘;非手术治疗

TheClinicalAnalysisof42PatientswithEnterocutaneouAfterAlimentaryMalignantOperation

HAOPeng,BAILi-wei,YANZheng-qiang,etal

(TheFirstAffiliatedHospitaltoXinxiangMedicalCollege,HenanXinxiang453100,China)

Abstract:Objective:Toinvestigatethediagnosisandthetreatmentmeasuresoftheenterocutaneoufistula.Method:Theclinicalpatientsof42casespatientswithenterocutaneoufistulawereretrospectivelyanalyzed.Result:3patientsweretreatedbyoperation;theother(39)weretreatedbyconservativenon-operativemeasures.40patientsrecoveredwhile2diedin42cases.Thecuringrateoftheenterocutaneoufistulawas95%.Conclusion:Thekeepingofexpeditedrainage,rationalapplicationsofparenteral,enteralnutritionandpowerfulantibacterialtreatmentwerekeysfornon-operativemeasurestotreattheenterocutaneoufistula.Mostpatientssufferedfromtheenterocutaneoufistulacanrecoverbythemeasuresofnon-operativetreatment.......

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