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胃肠道手术后肠外瘘42例临床分析
http://www.100md.com 《河北医学杂志》 2005年第11期
胃肠,,肠外瘘;非手术治疗,1临床资料,2结果,3讨论,4结论,参考文献:
     摘要:目的:探讨肠外瘘的诊断及治疗措施。方法:对我院收治术后肠外瘘42例的临床资料进行回顾性分析。结果:手术治疗3例,其余39例采用非手术治疗。死亡2例,其余40例痊愈出院,治愈率为95%。结论:保持引流通畅,合理胃肠内、外营养、加强抗感染治疗,是非手术治疗肠外瘘的关键 ,大部分肠外瘘病人可以通过非手术治疗治愈。

    关键词:肠外瘘;非手术治疗

    The Clinical Analysis of 42 Patients with Enterocutaneou After Alimentary Malignant Operation

    HAO Peng,BAI Li-wei,YAN Zheng-qiang,et al

    (The First Affiliated Hospital to Xinxiang Medical College,Henan Xinxiang 453100, China)

    Abstract: Objective: To investigate the diagnosis and the treatment measures of the enterocutaneou fistula.Method: The clinical patients of 42 cases patients with enterocutaneou fistula were retrospectively analyzed. Result: 3 patients were treated by operation;the other (39) were treated by conservative non-operative measures. 40 patients recovered while 2 died in 42 cases. The curing rate of the enterocutaneou fistula was 95%. Conclusion:The keeping of expedite drainage, rational applications of parenteral,enteral nutrition and powerful antibacterial treatment were keys for non-operative measures to treat the enterocutaneou fistula.Most patients suffered from the enterocutaneou fistula can recover by the measures of non-operative treatment. ......

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