全肠道灌洗的临床应用及改进——附64例报告

Clinical Application of the Whole Gut Irrigation and Improvement of its Method——A report of 64 cases

采用全肠道灌洗作肠道准备共64例,效果满意。灌洗前病人可随意进食,增加了病人对手术的耐受性;灌洗后肠道空虑,操作方便;术后并发症少,伤口愈合良好。通过体重,血压和钠、钾、氯的测定,病人无明显异常。文中对该法的适应症进行了讨论。

We have used the whole gut irrigation (Hollender's or Hollender's method and Senna) as a method of bowel preparation to treat 64 patients during the period 1985-1989 in our hospital. The results showed the effect of this method is satisfactory. The patients may eat freely before the irrigation,so that increase their tolerance to operation. The intestinal canal was emptied after the irrigation, so that ensured to perfornm an operation easily. The postoprative complications reduced, and the wound healing was good. There were no abnormality in assay of patient's weight,blood pressure and in quantitative determination of serum Na^+, K^+, Cl^-. It is not advisable for patients with intestinal obstruction who have disorder in heart and kidney.