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- Small Intestinal Obstruction (A Review of 337 Cases)
頁籤選單縮合
題名 | Small Intestinal Obstruction (A Review of 337 Cases)=小腸阻塞(337病例之分析) |
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作者 | 莫景棠; 彭芳谷; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 13:4 1980.12[民69.12] |
頁次 | 頁262-270 |
關鍵詞 | 小腸阻塞; |
語文 | 英文(English) |
中文摘要 | 急性小腸阻塞一直是急診剖腹最常見疾病之一。本文搜集榮民總醫院自民國63年至68年之小陽阻塞病例337個,並參考中外文獻寫成一篇分析報告。本文所統計原因發生率與西方文獻雷同。但死亡學顯然比西方文獻報告為低。主要引起死亡原因為腸壞疽、腸穿孔、腸過度脹大、腹腔被污染及過度年老或年幼等因素。早期診斷和治療乃是減少併發症及死亡率的最佳方法。引起腸黏連的因素主要有四個,那是粗糙面,缺氧組織、異物及腹腔內感染。在最近發表文獻中,大部份認為最有效防止復發性腸黏連乃是腸切除,順序排列及腹腔內注射鏈球菌溶解蛋白質激酶。 |
英文摘要 | A review of 337 cases of small intestinal obstruction has been made. The frequency of etiologic factors was similar to those reported in the western world. Compared with other series, our overall mortality rate (4.1%) is relatively low. The major factors which influenced survival were gangrene, perforation of the bowel, severe intestinal distention, contamination of the peritoneal cavity, and extreme youth or extreme age of the patients. Early diagnosis and early treatment is one of the way to reduce the complication and mortality. The four major factors of intra-abdominal adhesions are rough surface, ischemic tissue, foreign body (including blood), and intraabdominal infection. In recent published papers, resection, Nobles plication, and intraperitoneal streptokinase are the most effective methods in prevention of recurrent adhesions. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。