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大肠癌并低位肠梗阻Ⅰ期手术的探讨
引用本文:胡钦勇,王卫星,张家耀. 大肠癌并低位肠梗阻Ⅰ期手术的探讨[J]. 湖北民族学院学报(医学版 ), 2002, 19(1): 23-24
作者姓名:胡钦勇  王卫星  张家耀
作者单位:1. 武汉大学人民医院普外科,湖北,武汉,430074
2. 湖北省恩施自治州中心医院普外科,湖北,恩施,445000
摘    要:
目的 探讨大肠癌并低位急性肠梗阻I期手术切除吻合的安全性及可行性。方法 回顾性分析 32例大肠癌并低位急性肠梗阻I期手术的临床资料及手术体会,结合文献探讨大肠癌并低位急性肠梗阻I期手术的适应症及围手术期处理。结果32例大肠癌井低位急性肠梗阻I期手术切除吻合,其中29例无吻合口漏及其他并发症,2例发生吻合口漏,经引流、支持治疗获痊愈,I例术后早期死于中毒性休克。结论 大肠癌并低位急性肠梗阻只要严格掌握适应症,做好术前、术中、术后处理,I期手术切除吻合是安全的。

关 键 词:大肠癌  肠梗阻  Ⅰ期切除吻合  可行性
文章编号:1008-8164(2002)01-0023-02
修稿时间:2001-10-08

Study on first- stage Operation of Low Intestinal Obstruction Caused by Carcinoma of Large Intestine
HU Qin-yong,WANG Wei-Xing,ZHANG Jia-yao. Study on first- stage Operation of Low Intestinal Obstruction Caused by Carcinoma of Large Intestine[J]. Journal of Hubei Institute For Nationalities(Medical Edition), 2002, 19(1): 23-24
Authors:HU Qin-yong  WANG Wei-Xing  ZHANG Jia-yao
Abstract:
ve To study the security and feasibility of first-stage operation of acute low intestine obstruction. Methods 32 cases were analysed retrospectively to study the indication and perioperative treatment with related reference. Results Of the 32 cases, 29 were cured without anastomotic leakage and other complications, 2 with anastomotic leakage went through by drainment and supporting treatment, 1 died of toxicoshock. Conclusion It's safe to operate when indication is prehended strictly and perioperation treatment is proper.
Keywords:carcinoma of large intestine  intestinal obstruction  first-stage operation resectionand anastomosis.
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