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大肠癌急诊手术34例分析
引用本文:钟兴伟.大肠癌急诊手术34例分析[J].中国医药导刊,2008,10(3):382-383.
作者姓名:钟兴伟
作者单位:云南省红河州滇南中心医院外一科,蒙自,661100
摘    要:目的:探讨大肠癌并急腹症的临床特点及外科治疗效果。方法:回顾性分析1997年12月至2007年12月间34例大肠癌并急腹症手术患者的临床资料。结果:右半结肠14例均行Ⅰ期切除吻合术,左半结肠、直肠20例,其中一期切除吻合术8例,Ⅱ期手术6例,Miles手术4例.术后死亡1例,癌肿无法切除1例。结论:大肠癌并急腹症以肠梗阻最多,肠穿孔及出血次之;无论左、右半结肠癌,患者情况允许时,急诊手术仍应争取行根治切除并Ⅰ期吻合术,术中结肠灌洗有助于减少术后肠漏的发生。

关 键 词:大肠癌  急性肠梗阻  肠穿孔  急诊手术  大肠癌  急诊手术  分析  Colorectal  Cancer  Emergency  Operations  Cases  发生  肠漏  术后死亡  术中结肠灌洗  Ⅰ期吻合术  根治切除  患者情况  右半结肠癌  出血  肠穿孔  肠梗阻  癌肿  Miles  期手术

The Analysis of 34 Cases Emergency Operations of Colorectal Cancer
Zhong Xin-wei.The Analysis of 34 Cases Emergency Operations of Colorectal Cancer[J].Chinese Journal of Medicinal Guide,2008,10(3):382-383.
Authors:Zhong Xin-wei
Institution:Zhong Xin-wei (The first derpartemt of the general surgery of Diannan Center Hospital,Honghe State,Mengzing 661100,China)
Abstract:Objective:To discuss the clinical characteristic and the effect ofthe surgical therapy of the patients with colorectal cancer combined with acute abdomen.Methods:The clinical data of the patients with colorectal cancer combined with acute abdomen who were underwent the emergency operations from December 1997 to December 2007 were retrospectively analysised.Results:14 ca- ses of patients with ascending colon cancer were underwent one-stage resection and anastomosis.There were 20 cases of patients with descen...
Keywords:Colon and rectal cancer  Acute ileus  Intestine perforation  Emergency operation  
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