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目的:探讨损伤控制性手术急诊肠造瘘的应用。方法:回顾性分析近2a来18例损伤控制性手术急诊肠造瘘的临床资料,其中外伤性肠破裂7例,大肠肿瘤伴肠梗阻8例,结肠炎性穿孔2例,直肠癌低位前切术后吻合口瘘1例。结果:除1例死亡外,其余均取得了较好疗效。切口感染15例,腹腔残余脓肿2例。结论:对大肠疾病引起腹腔严重污染损伤控制性手术急诊肠造瘘是可行的,具有临床意义。
Objective: To investigate the application of emergency gastrectomy in patients with injury control. Methods: The clinical data of 18 cases of traumatic intestinal emergency operation in the past 2 years were retrospectively analyzed. Among them, 7 cases of traumatic intestinal rupture, 8 cases of colorectal tumor with intestinal obstruction, 2 cases of colonic inflammatory perforation, One case of anastomotic fistula after operation. Results: Except for one case of death, the others achieved better curative effect. Incision infection in 15 cases, 2 cases of abdominal residual abscess. CONCLUSION: It is feasible and effective for colorectal disease to cause severe peritoneal contusion and injury in controlled surgery.