| 结肠肿瘤并急性梗阻的诊治 |
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| 引用本文： | 张启林,李浩,王惟,王心存. 结肠肿瘤并急性梗阻的诊治[J]. 中国基层医药, 2003, 10(4): 296-297 |
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| 作者姓名： | 张启林 李浩 王惟 王心存 |
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| 作者单位： | 246003,安徽安庆市第一人民医院普外科 |
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| 摘 要： | 目的 总结结肠肿瘤并急性梗阻的诊治经验，探讨其外科处理原则和方法。方法 回顾分析14例结肠肿瘤并急性梗阻的临床资料。本组全部切除肿瘤采用一期切除吻合。结果 14例均经手术治愈。术后切口感染6例，其中切口裂开再次手术缝合治愈1例。肺部感染2例，功能性胃排空障碍1例。无吻合口瘘，无住院死亡。结论 掌握好手术适应证和手术方法，一期肿瘤切除吻合是安全的。
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| 关 键 词： | 结肠肿瘤 急性梗阻 并发症 功能性胃排空障碍 手术适应证 一期切除吻合术 |
| 修稿时间： | 2003-01-26 |
The diangnosis and treatment of acute colon obstruction caused by carcinoma |
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| ZHANG Qilin,LI Hao,WANG Wei,et al.. The diangnosis and treatment of acute colon obstruction caused by carcinoma[J]. Chinese Journal of Primary Medicine and Pharmacy, 2003, 10(4): 296-297 |
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| Authors: | ZHANG Qilin LI Hao WANG Wei et al. |
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| Affiliation: | ZHANG Qilin,LI Hao,WANG Wei,et al.Depertment of General Surgery,The First People's Hospital of Anqing,Anhui,246003,China |
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| Abstract: | Objective To summarize the experience in the diagnosis and treatment and explore the principle and method of acute colon obstruction caused by carcinoma.Methods Clinical data of 14 patients with acute colon obstruction caused by carcinoma were analyzed retrospectively.In this group,all neoplasmas were excised totally and the colons were anastomosed.Results All the 14 patients underwent operation were cured.Postoperatively incision infection was found in 6 cases,incision fissure and reoperation in 1 case,lung infection in 2 cases,functional delayed gastric emptying(FDGE) in 1 case.No anastomotic leakage and death were found in hospital.Conclusion One stage resection of the cancer and anastomosis of the colon may be safe and suitable based on the good indications and surgical methods. |
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| Keywords: | Intestinal obstruction Digestive system neoplasms Acute diseases |
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