摘要
总结3例灌肠后发生肠穿孔的病例,分析肠穿孔的原因,提出预防及护理要点。灌肠后肠穿孔,并非一定是由灌肠时护理操作不当所引起。局部器官有近期手术,放化疗史,导致肠管病理状态或解剖位置改变,可能为肠穿孔的病理基础。因此,临床上必须严格掌握灌肠禁忌症,对必须实施灌肠的患者,应针对具体情况实施个体化操作。
Intestinal perforation during or after enema occurred in 3 cases who had undergone surgical operation, radiotherapy and/or chemotherapy. The occurrence of intestinal perforation is not necessarily caused by enema or mal-manipulation during enema, and may be due to surgical operation, radiotherapy or/and chemotherapy which cause pathological change of the local intestine. It is suggested that contraindication should strictly be followed for enema,and individualised manipulation and management are needed during enema.
出处
《中国肛肠病杂志》
2008年第6期23-25,共3页
Chinese Journal of Coloproctology
关键词
灌肠
肠穿孔
化学疗法
放射疗法
Enema
Intestinal perforation
Chemotherapy
Radiotherapy