| 自发性结肠破裂15例临床诊治探讨 |
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| 引用本文： | 叶勇,吕德超,汪迎. 自发性结肠破裂15例临床诊治探讨[J]. 安徽卫生职业技术学院学报, 2008, 7(5): 16-17 |
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| 作者姓名： | 叶勇 吕德超 汪迎 |
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| 作者单位： | 安徽省立医院急诊外科,合肥,230001 |
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| 摘 要： | 目的：分析自发性结肠破裂的发病机制,临床特征及诊治方法。方法：对15例自发性结肠破裂患者病因、诊断、治疗方法、术后并发症进行回顾性分析。结果：便秘15例（100.0%）、糖尿病6例次（40.0%）、高血压8例次（53.3%）、高脂血症7例次（46.7%）是自发性结肠破裂的高危因子。15例均给予手术,治愈10例（66.7%）,死亡5例（33.3%）,死亡5例就诊时均超过36h。结论：自发性结肠破裂早期诊断和手术,纠正休克,积极加强对围手术期的监护和综合治疗是改善其预后,提高治愈率的关键。
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| 关 键 词： | 结肠破裂 自发性 临床特征 |
Diagnosis and treatment of spontaneous colonic perforation |
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| YE Yong,LV De-chao,WANG Ying. Diagnosis and treatment of spontaneous colonic perforation[J]. Journal of Anhui Heaith Vocational & Technical College, 2008, 7(5): 16-17 |
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| Authors: | YE Yong LV De-chao WANG Ying |
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| Affiliation: | YE Yong, LV De-chao, WANG Ying (Department of Emergency Surgery,Anhui Provincial Hospital,Hefei 230001 ,Anhui) |
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| Abstract: | Objective:To analyze the mechanism, clinical feature and treatment of spontaneous perforation of colon. Methods:The clinical data (causes, diagnosis, treatment and complications) of 15 cases of spontaneous perforation of the colon, observed from January 2004 to December 2007, were analyzed retrospectively. Results: Fifteen patients had a history of chronic constipation (100%). Six of them suffered from diabetes (40%).Of them, eight had hypertension (53%),seven hyperlipemia (47%). These diseases are the high... |
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| Keywords: | spontaneous colonic perforation clinical feature |
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