急性坏死性肠炎68例手术治疗分析

Analysis of operative treatment of 68 patients with acute hemorrhagic enteritis necroticans.

目的评价急性坏死性肠炎手术治疗效果,探讨手术时机与方式。方法自1994年4月至2004年4月共手术治疗急性坏死性肠炎68例,按照其临床分型,结合临床检查,分别采取肠系膜封闭、肠减压、肠切除、肠造口等手术治疗。结果手术治疗68例,治愈49例。其中Ⅰ期吻合成功37例,Ⅱ期吻合12例;死亡19例。结论密切观察病情变化,严格掌握手术适应证,选择合适手术时机及术中正确判断手术方式,是手术治疗的关键,亦是达到治愈的重要环节。

Objective To evaluate the effect of operation for acute hemorrhagic enteritis necroticans and to investigate the method and opportunity of operative. Methods 68 acute hemorrhagic necrotic enteritis patients were received operative treatment from October 1994 to March 2004. According to the clinical typing and combining with clinical examination, the patients were treated with operations of mesorrhaphy, decompression of intestine, enterectomy and enterostomy respectively. Results 68 cases were treated with operation, Among them 49 cases were cured, including primary anastomosis 37 cases, secondary anastomosis 12 cases,19 cases died. Conclusion It's important to observe carefully patient's condition and grasp strictly the operative indication and select the operative opportunity and method.