中国医药
中國醫藥
중국의약
CHINA MEDICINE
2012年
9期
1126-1127
,共2页
阿不都外力·吾守尔%买合皮热提汗·艾尔肯%王云海
阿不都外力·吾守爾%買閤皮熱提汗·艾爾肯%王雲海
아불도외력·오수이%매합피열제한·애이긍%왕운해
肠结核%肠梗阻%手术治疗
腸結覈%腸梗阻%手術治療
장결핵%장경조%수술치료
Intestinal tuberculosis%Intestinal obstruction%Surgical treatment
目的 探讨结核性肠梗阻的手术治疗.方法 对我院2008年10月至2011年10月收治的28例肠结核并发肠梗阻患者的临床资料进行回顾性分析.结果 治愈20例(71.1%),Ⅱ期手术6例(21.4%),并发肠瘘2例(7.1%),术后再次肠梗阻2例(7.1%).结论 结核性肠梗阻患者病程长、全身情况差、手术复杂、Ⅱ期手术率较高.必须加强抗结核及营养支持治疗.手术以解除肠梗阻为主,情况好转后可行Ⅱ期手术.
目的 探討結覈性腸梗阻的手術治療.方法 對我院2008年10月至2011年10月收治的28例腸結覈併髮腸梗阻患者的臨床資料進行迴顧性分析.結果 治愈20例(71.1%),Ⅱ期手術6例(21.4%),併髮腸瘺2例(7.1%),術後再次腸梗阻2例(7.1%).結論 結覈性腸梗阻患者病程長、全身情況差、手術複雜、Ⅱ期手術率較高.必鬚加彊抗結覈及營養支持治療.手術以解除腸梗阻為主,情況好轉後可行Ⅱ期手術.
목적 탐토결핵성장경조적수술치료.방법 대아원2008년10월지2011년10월수치적28례장결핵병발장경조환자적림상자료진행회고성분석.결과 치유20례(71.1%),Ⅱ기수술6례(21.4%),병발장루2례(7.1%),술후재차장경조2례(7.1%).결론 결핵성장경조환자병정장、전신정황차、수술복잡、Ⅱ기수술솔교고.필수가강항결핵급영양지지치료.수술이해제장경조위주,정황호전후가행Ⅱ기수술.
Objective To study the clinical therapeutic experience of intestinal tuberculosis concurrent with intestinal obstruction and improve the level of treatment.Methods From Oct.2008 to Oct.2011,28 patients with intestinal tuberculosis concurrent with intestinal obstruction receiving oporations were analyzed retrospectively.Results In those 28 operative patients,20 cases were cured(71.1% ),6 cases(21.4% )received second stage operations,2 cases (7.1% )concurrent with intestinal fistula and 2 cases (7.1% )got once more intestinal obstruction after operation treatments.Conclusions The course of tubercular intestinal obstruction patient is long.Patients' whole body situation is bad and the second stage surgery rate is high.Therefore we should strengthen the anti-tuberculosis and the nutrition support treatment before or after operations.The surgery relieves the obstruction primarily.Second stage surgery treatment is feasible after the situation changes is improved.