肠穿孔患者术后诊断为克罗恩病19例

目的总结分析克罗恩病患者肠穿孔的治疗方法及手术后并发症。方法回顾分析19例手术后病检确诊为克罗恩病并肠穿孔患者的临床资料。结果19例术后病检为克罗恩病并肠穿孔患者入院后即急诊手术，术中发现为小肠穿孔，术后并发症为手术切口感染6例、肠漏4例、炎性肠梗阻6例、死亡3例。结论克罗恩病致肠穿孔无明显的特异性，手术治疗是唯一抢救患者生命的有效方法；肠漏是易发生的严重并发症；伤口感染、炎性肠梗阻是其常见的并发症；死亡是最严重的并发症。

19 Cases of Corhn's Disease Diagnosed After Postperative of Enterobrosis

Objective To analyze the treatment of enterobrosis and postoperative complication of Corhn＇ s disease. Methods The clinical data of 19 cases of Corhn＇ s disease and intestinal perforation diagnosed postoperatively by biopsy was analyzed retrospectively. Results The 19 cases were all underwent emergency operation, enteric perforation was found in all operations. Postoperative complicaton include 6 cases of infection of Operation Notch,4 cases of intestinal fistula,6 cases of inflammatory ileus and 3 cases died. Conclusion Corhn＇ s disease causing intestinal perforation had no obvious specificity,surgical treatment is the only effective method to save patitent＇ s life; casesintestinal fistula was the severe com- plication easily occurred ; infection of Operation Notch and inflammatory ileus were common complications ; death was the most severe.