CAJ | 학술논문

目的：总结急性坏死性小肠炎的中转手术治疗体会。方法：对我院1980.5～1999.5急性坏死性小肠炎23例由内科治疗而中转手术进行回顾性分析。结果：存活16例，成活率69.6％，死亡7例（死于中毒性休克多器官衰竭4例，高热抽搐1例，肠瘘出血2例）。结论：在内科治疗过程中具有下列条件中转手术：①严重腹胀；②腹膜刺激症状；③出血量多；④机械性肠梗阻。剩余的短肠行小肠倒置术和"6"形，"9"形小肠吻合术。强调具有上述指征，及早手术处理，是提高生存率的关键。
목적：총결급성배사성소장염적중전수술치료체회。방법：대아원1980.5～1999.5급성배사성소장염23례유내과치료이중전수술진행회고성분석。결과：존활16례，성활솔69.6％，사망7례（사우중독성휴극다기관쇠갈4례，고열추휵1례，장루출혈2례）。결론：재내과치료과정중구유하렬조건중전수술：①엄중복창；②복막자격증상；③출혈량다；④궤계성장경조。잉여적단장행소장도치술화"6"형，"9"형소장문합술。강조구유상술지정，급조수술처리，시제고생존솔적관건。
Objective：To summarize the experience of operation of acute necrotizing enteritis．Methods 23 cases transferring operation of acutenecrotizing enteritis from medical cure were retrospectively reviewed in our hospital from may 1980 to may 1999．Results：16 cases （69．6％） survived，7 cases died （4 cases died of toxic shock，one case died of febrile convulsion，2 cases died of intestinal fistula hemorrhage）．Conclusion：Transferring operations in medical treatment include the following condition：①serious abdomen bulge；②peritoneum stimulating symptom③massive hemorrhage；④mechanicalileus；small intestine inversion operation using remaining intestine，shape 6 and shape 9 small intestine anastomosis，timely surgical treatment is the key to increase survival rate．