查詢結果分析
來源資料
頁籤選單縮合
| 題 名 | The Management and Prognosis of Fulminating Amebic Colitis=猛爆性阿米巴大腸炎的治療及預後 |
|---|---|
| 作 者 | 游耀東; 王正儀; 張簡俊榮; 陳進勛; 許寬成; 唐瑞平; 江支銘; 陳鴻華; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 28:6 民84.11-12 |
| 頁 次 | 頁486-490 |
| 分類號 | 415.556 |
| 關鍵詞 | 猛爆性阿米巴大腸炎; Fulminating amebic colitis; Surgery; Prognostic factors; |
| 語 文 | 英文(English) |
| 中文摘要 | 從1977至1994年間共收集35例猛爆性阿米巴大腸炎來從事研究。所有的案例皆在住院後24小時內接受手術。依據腹腔的污染程度及疾病的侵犯程度而有三種不同的手術方法被採用。族一:13例, 採用切除病灶大腸並做大腸吻合手術。族二:20例,採用切除病灶大腸但不做大腸吻合手術。族三:2例,採用迴腸造瘻手術。有許多因子可能影響其預後,這些因子包括年齡、症狀發生至手術的時間、手術方法、手術前後病人的身體狀況、手術時腹腔的污染程度。所有死亡率為34%而大部份的死亡者在族二內。由研究所得發現延遲手術,手術前身體狀況差的病人,腹腔內嚴重污染的病患其預後較差。且若於手術時發現腹腔內有嚴重感染時,最好採用只做病灶大腸切除而不做大腸吻合的手術。 |
| 英文摘要 | From 1977 to 1994 Thirty-five patients diagnosed with fulminating amebic colitis were reviewed. All of them had undergone surgery within 48 hours after admission. Three different surgical procedures were chosen based on abdominal contamination and the lesion pattern. Group I: 13 cases, the surgical procedure was resection with anastomosis. Group II: 20 cases, the surgical procedure was resection without anastomosis. Group III: 2 cases, the surgical procedure was loop ileostomy diversion. The factors which may affect prognoses were studied, including age, duration of symptoms before surgery, surgical method, preoperative general condition and the degree of abdominal contamination during surgery, et cetera. The overall mortality rate was 34%. However, 83% of the dead were in Group II. Delayed surgery, poor preoperative general condition and severe abdominal contamination resulted in a worse prognosis. Resection without anastomosis is recommended if the degree of abdominal contamination is severe at surgery. |
本系統中英文摘要資訊取自各篇刊載內容。