急性出血性肠炎15例诊疗体会

Acute hemorrhagic entertitis:Diagnosis and therapeutic experience in 15 cases

目的 :总结急性出血性肠炎的诊治经验 ,评价个体化治疗方法的应用效果。方法 :对 7年来 15例急性出血性肠炎病人 ,按其临床表现进行分型 ,针对不同病情采取手术和非手术的个体化治疗。结果 :14例治愈 ,1例死亡。手术 9例 ,其中 5例行病变肠段切除 ,1例一期肠吻合 ,4例肠造口 ,另 4例未做特殊处理。非手术治疗 6例 ,1例死亡 ,5例康复。结论 :采用个体化治疗方案效果良好。有肠管坏死倾向者 ,果断手术。反之 ,密切观察病情变化 ,综合治疗 ,防止多器官衰竭的发生。

Objective: To sum up the experience in the diagnosis and treatment of acute hemorrhagic entertitis, and to assess the efficacy of individualized therapeutic program. Methods: Fifteen cases of acute hemorrhagic entertitis were classfied by clinic symptoms, and were treated by operative or non-operative treatment according to their different conditions in the past 7 years . Results: In the patients, 14 cases were cured and 1 died.among 9 cases of operation, Primary anastomosis in 1 case and enterostomy in 4 cases were performed in 5 cases of enterectomy, no special treatment with no special treatment for the other 4 cases,In 6 cases with no operation, 5 cases recovered and 1 case died.Conclusion: Individualized program is effective. We should immediately operate upon bowel in the cases with necrosis symptom, or observe the conditions of the patients for synthetic therapy to provent MOF.