论文部分内容阅读
目的探讨尘肺患者合并急腹症的处理方法和效果。方法回顾性分析手术治疗尘肺患者合并急腹症46例的临床资料。结果46例中Ⅱ期尘肺30例,Ⅲ期尘肺16例。肺功能轻度损伤Ⅰ级15例,中度Ⅱ级22例,重度Ⅲ级9例。合并急性胆囊炎、胆囊结石嵌顿25例,重症胆管炎3例,急性胃十二指肠球部溃疡穿孔6例,结、直肠癌急性梗阻2例,急性化脓穿孔性阑尾炎9例,肠扭转肠坏死1例。46例均行手术治疗,包括胆囊切除10例,胆囊切开取石胆囊造瘘15例,胆囊切除、胆总管探查T管引流3例,胃十二指肠球部溃疡穿孔修补6例,结、直肠癌切除、结肠造瘘2例,阑尾切除、置管引流9例,肠切除肠造瘘1例。除1例死亡外,其余均治愈。结论尘肺患者合并急腹症需手术治疗时,不要轻易放弃,只要作好充分的围手术期处理,根据肺功能损伤程度,因人而异,选择简单有效的手术方式,能明显提高治愈率,降低病死率。
Objective To explore the treatment and effect of acute abdomen in patients with pneumoconiosis. Methods The clinical data of 46 patients with pneumoconiosis complicated with acute pneumoconiosis were retrospectively analyzed. Results 46 cases of Ⅱ pneumoconiosis in 30 cases, Ⅲ pneumoconiosis in 16 cases. Mild lung injury grade Ⅰ 15 cases, 22 cases of moderate grade Ⅱ, 9 cases of severe grade Ⅲ. Acute cholecystitis, gallbladder stones incarcerated in 25 cases, severe cholangitis in 3 cases, acute gastroduodenal ulcer perforation in 6 cases, knot, rectal cancer acute obstruction in 2 cases, acute suppurative perforated appendicitis in 9 cases, intestinal torsion One case of intestinal necrosis. Forty-six patients underwent surgical resection, including 10 cases of cholecystectomy, 15 cases of gallbladder cholecystolithotomy, 3 cases of cholecystectomy, common bile duct exploration of T-tube drainage, gastroduodenal ulcer perforation repair in 6 cases, Colorectal cancer resection, colostomy in 2 cases, appendectomy, catheter drainage in 9 cases, intestinal resection of intestinal fistula in 1 case. In addition to 1 case of death, the rest were cured. Conclusion pneumoconiosis patients with acute abdomen need surgery, do not give up easily, as long as adequate perioperative management, according to the degree of lung injury varies from person to person, select a simple and effective surgical approach, can significantly improve the cure rate, Reduce mortality.