结肠癌急性肠梗阻40例临床分析

Clinical analysis for 40 cases of acuite ileus caused by colon cancer

本文报道了结肠癌急性肠梗阻４０例，对梗阻近端行肠减压时既减压彻底又不污染腹腔提出了具体减压方法。预防吻合瘘的重要问题是吻合口两端系膜血管有搏动或有活动出血，其二是肠管无张力，术中置引流管，术后定期扩肛。

Abstract cases of acute ileus caused by colon cancer were included in the report. A new way of enter-decompression was employed, which had the advantage of complete pressure-relifing and caused no contamination. In order to achieve a successful resecution and anastomosis at a time,and prevent anastomosis mouth fistula, it was improtant of maintaining a good mesentery arterialpulsation at end of anastomosis enteric, and place it at a hypotonic state; it was also advisable toindwell a tube during opration for drainage post-opration, and exeute post-oprative anal digital dilation at the set time intermittently.