ABDOMINAL SURGERY IN THE ALAMEIN CAMPAIGN

• 1 The experience of 90 abdominal wounds, operated on in forward areas, is used as a basis. Certain cases are quoted.
• 2 General management in all stages is reviewed, and standards are laid down under which the mortality was halved.
• 3 Benefits of rapid transfusion are shown.
• 4 Intraperitoneal injection of sulphadiazine would seem, clinically, to reduce peritoneal infection following bowel perforation.
• 5 The necessity is shown for routine early post-operative gastric suction and continuous intravenous therapy in all cases of perforated bowel.
• 6 Lesions of various organs are reviewed in detail and their management is discussed.
• 7 Wounds of the colon, if “exteriorized”, are no more fatal than those involving small bowel. A recovery rate of at least 70% is to be expected if patients come to operation within twelve hours.

     

局麻腹部吸脂术68例报告

对68例腹部肥胖病人在门诊采用局部浸润麻醉行腹部吸脂术,吸脂量在200～900ml,术后不需置负压引流,也不需住院治疗。     

18例腹部外科重危病人低磷血症的临床研究

本文对18例并发低磷血症的腹部外科重危病人进行回顾性分析,发现腹部严重感染、各种消化道瘘致胃肠道液体大量丢失是引起低磷血症的常见原因。且后者更易导致重症低磷血症。肌无力、肌肉疼痛、低氧血症、感染异常、恐惧感、轻度黄疸、合并感染或原有的感染难以控制等是重症低磷血症的主要临床表现。作者认为该症的早期诊断关键在于充分认识其发病原因和临床表现、及时定期监测血磷浓度的变化。