医源性胃肠漏32例分析

Analysis of 32 cases gastrointestinal leakage

目的 探讨医源性胃肠漏的原因和预防措施。方法 总结我院 1996年 8月～ 2 0 0 1年 12月间收治的 32例医源性胃肠漏的临床资料 ,对胃肠漏的原因进行分析。结果 32例胃肠漏中良性疾病 15例 ,恶性疾病 17例。择期手术 2 5例 ,急诊手术 7例。保守治疗 2 1例 ,再手术 11例 ,治愈 2 4例 ,死亡 8例。结论 医源性胃肠漏的主要原因是手术方式选择不当、吻合技术缺陷、吻合口局部情况不良、忽视术后处理等。

Objective To investigate the factors and the preventive methods of gastrointestinal leakage.Method 32 cases of gastrointestinal leakage from 1996 to 2001 were analyzed retrospectively.Results In 32 patients,19 cases were benign diseases and 13 cases were malignant diseases.25 cases were selectively operation and 7 were emergency operation, 11 cases treated by re-operation and 21 cases by other methods.24 cases were cured and 8 cases were died.Conclusions Main cause of leakage was operative method unsuitable.Anastomostic skill was deficiency,local condition was bad and ignored postoperative treatment and so on.Preventive methods should be selected to decreasingintestinal leakage.