急性出血性小肠炎外科治疗体会

Acute hemorrhagic enteritis surgical treatment experience

目的探讨急性出血性小肠炎的发病原因、诊断、外科治疗。方法回顾分析2007年1月-2011年5月我院9例急性出血性小肠炎患者的临床资料。发病年龄55～63岁，男8例，女1例，平均年龄59岁；人院时显性大出血并休克8例（88．9％）。结果9例均是消化道大出血，保守治疗失败，转行外科剖腹控查术，术中行电子结肠镜寻找出血点，并行结扎止血，手术止血成功率100％，9例病人均痊愈出院。结论电子小肠镜未普及（成本昂贵）的今天，急性出血性小肠炎显性大小血，外科剖腹控查＋术中电子结肠镜寻找出血点止血，疗效确切，值得推广。

Objective To explore acute hemorrhagic enteritis of the pathogenesis, diagnosis, surgical treatment. Methods retrospective In 2007 January - 2011 May in our hospital, 9 cases of acute hemorrhagic enteritis clinical data. Age of onset 5563, male 8, female 1, mean age 59 years, at the time of admission dominant hemorrhage and shock in 8 cases （88.9%）. Results 9 cases were of hemorrhage of digestive tract, conservative treatment fails, surgical laparotomy operation switch control check, the electronic colonoscopy for the bleeding point, parallel ligation is hemostatic hemostatic, operation success rate of 100%, 9 cases were cured and discharged. Conclusion Endoscopy is not universal （costly） today, acute hemorrhagic enteritis overt hemorrhage, surgical laparotomy control check and intraoperative colonoscopy for bleeding of hemostatic, definite curative effect, is worth popularizingl