Fever after cesarean section: Analysis of 58 cases, relation result governance. Chinese Journal of Practical Gynecology and Obstetrics, 1999, 15(11): 70-93. Wang Shuzhen (Ed.), Journal of Practical Obstetrics and Gynecology, Beijing: People Du, 1990; 457/a.
Zhen Simple Intestinal Decompression in Obstructive Colorectal Cancer at Stage I Kiss. In addition, the intraoperative application of surgery by Baise People (533000) - Former Lu. A colon cancer and low obstruction underwent one-stage resection and anastomosis. Postoperative bowel kiss proscenium fistula, toxic shock is the most serious complication, and effective intestinal decompression is the most important measure to reduce these complications. Our nearly ten years of treating patients with the use of intraoperative simple intestinal decompression underwent a resection and kiss with a good curative effect. Report as follows now. Clinical data of L1, 1 average data this group male 20 patients, 18 were female; age biggest 74 years old, a minimum of 22 years. The average age of 49.5 years; in 25 cases with abdominal pain, abdominal distention, closed anal emergency admissions, 17 cases of abdominal distension, abdominal pain medical treatment fails to operation treatment course of 2 to L5 day admission examination. Abdominal distention, tenderness, hyperactive bowel sounds, a gas water music. X-ray tips dilatation of intestine, bowel wall thickening, there are ten big liquid level. In 1.2 tumor site 11 cases of right colon, left colon in 21 cases. 6 cases of upper rectal. 1.3 mining ex-associate Fen after admission in nasal gastrointestinal decompression, sun liquid, correction of acidosis, anti-inflammatory, 24 to 86h operation treatment. But for all patients were unable to effectively cleaning enema before operation. 1.4 operation means are used in simple intestinal obstruction reservoir after decompression. One-stage resection and kiss stations. Specific methods to make removal of the obstruction of proximal separation node by mesangial, ring tie Fu, ligation of the distal colon in injected into the 5-FulO00mg. In the proximal colon ligature wire cutting, near side end arranged out of external abdominal pain. Intestinal cavity evacuation decompression. Then conventional colon resection. Empty after the node from the retraction, visible peristalsis. Right hemicolectomy after a colon end-to-side kiss, left colon resection after a colon or rectal end kiss station junction. The entire group of 1.5 fruit incision infection in 2 case. No kiss proscenium fistula and operation of death. Recent curative effect is good.
2 discuss 2.1 mining intestinal decompression Fu Road reef preparation is inadequate, colorectal cancer resection and anastomosis occurred after kiss RL fistula is one of the main reasons. Therefore, some people think that left colon from shear relaxation anastomosis, anastomosis of the proximal anastomosis fistula emptiness is to prevent the RL key /7; L1. From colorectal cancer with obstruction, commonly used intraoperative decompression and lavage of the colon. Obstruction of the proximal bowel decompression method has been widely used. But there are also considered the method of eliminating hidden content effects are often not completely, so tend to present with node from lavage. This group of cases, we only use the surgery obstruction of the proximal axillary cavity decompression method. That is not undergoing decompression after colonic lavage, one-stage resection and anastomosis is performed, no case of postoperative anastomotic fistula. We judge the intestinal is empty. The obstruction and dilatation of the bowel segment holding extrusion. To Fu content discharge date, general 2 to 4 by squeezing the intestinal cavity can be completed, visible axillary cavity retraction. Intestinal peristalsis active. This has been reached for one stage resection and anastomosis of conditions. In clinical practice, we believe that intraoperative only need simple intestinal cavity decompression, so that obstruction of upper intestinal empty. Also can be performed safely in one-stage colonic resection and anastomosis, and simple operation. It can also avoid the intraoperative lavage may bring to the patient unnecessary trauma.
2,2 operation methods reported in the literature on fecal weight 40 is microbial. 90 of them are live microorganisms. When the colon bowel obstruction, bacteria to multiply, intraluminal pressure, intestinal wall increased capillary permeability, large numbers of bacteria and virus turbulence through the intestinal wall into the peritoneal cavity causing peritonitis. Also can enter the circulatory system, causing systemic infections. Especially the left colon by the intestinal wall is thin, nike free run, mesangial margin at the level of the vascular arch vessels. More susceptible to the intestinal wall of local blood supply insufficiency and increased permeability. Therefore, the traditional view that acute left-sided colonic obstruction one stage resection of a colonic anastomoses easy knot anastomotic leakage, operation mortality is higher. But in recent years the clinical research proves that, in the presence of peritonitis, colon resection and anastomosis is still feasible III. Obstructive left colon cancer treatment has deviation of one stage resection and anastomosis of the trend of export. All the cases of selection of one stage resection and anastomosis. With peritonitis signs in 7 cases, the right half of the colon in 2 cases. The left half of the colon in 5 cases, no anastomotic leakage effect is good. We believe that the anastomotic good blood supply and ensure the full layer by the wall of the sewing table is the primary condition for prevention of anastomotic leakage. Therefore, with our strict compliance eaves of upper intestinal obstruction following principles; cavity empty; @ kiss proscenium good blood supply. Prepare good bowel anastomosis proscenium, its mesangial arteriolar pulse obvious pain end, was active bleeding, and accompanied by intestinal peristalsis I @ anastomosis may be reversed.