急性坏死性小肠炎中转手术治疗体会

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（死亡中毒性休克多器官衰竭４例，高热抽搐１，肠瘘出血２例）。结论：在内科 具有下列条件下转手术：（１）严重腹胀；（２）腹膜刺激症状；（３）出血量多;（４）机械性肠梗阻，乘余的短肠行小肠倒置术和“６”形，“９”形小肠吻主。强调具有述指征，及早手术处理，是提高生存率的关键。

The analysis of transferring operation of acute necrotizing enteritis

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．