万进 余清华 彭俊杰 范先伟 510080 广州，广东省人民医院胃肠外科 中国胃肠外科杂志 1999 0 2 3


    关键词：医源性；消化道损伤；外科治疗 期刊 zgwcwkzz 0 论著 fur -->


    

【摘要 】 目的 探讨医源性消化道损伤外科治疗。方法 回顾性研究近10年有关消化道医源性损伤患者19例。结果 2例器械性损伤，15例腹腔手术过程中误伤，1例取环损伤及1例嵌顿疝手法复位损伤；1例食管损伤行保守治疗，其余均行手术治疗。因肠瘘而手术死亡于多器官功能衰竭1例，手术治愈率94.4%。结论 重视医源性消化道损伤发生原因及防范措施，注意选择时宜手术时机和方式，是提高临床外科治疗效果的关键。

The surgical treatment for iatrogenic trauma of alimentary tract: A report of 19 cases

WAN Jin, YU Qinghua, PENG Junjie, et al. Department of Gastrointestinal Surgery, Guangdong Provincial People's Hospital, Guangzhou 510080

【Abstract 】 Objective To investigate the problem of surgical treatment for iatrogenic trauma of alimentary tract. Methods 19 cases in recent 10 years with iatrogenic trauma of alimentary tract were analyzed retrospectively. Results There were two cases of instrumental injury, fifteen cases of abdominal operative injury, one case of uterine perforation related to getting vaginal pessary and one case of incarcerated hernia by manipulation. One case with esophageal injury received conservative therapy and other 18 cases underwent operation. One case with intestinal fistula died of multiple organ failure. The curative rate of operation was 94.44%. Conclusion It is the key to improve surgical treatment by paying attention to the causes and preventive measure and choosing appropriate surgical opportunity and methods in iatrogenic trauma of alimentary tract.

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