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chang nei zhi guan pai lie ji jing guan chang nei ying yang zhi liao chang geng zu
Author(s): 
Pages: 307
Year: Issue:  3
Journal: Qianwei Journal of Medicine & Pharmacy

Keyword:  肠内置管排列肠内营养肠梗阻;
Abstract: 近5年来,我们应用肠内置管排列及经管肠内营养治疗病情复杂的肠梗阻及再次手术时预防肠梗阻15例,术后均顺利恢复。未再次出现肠梗阻。1临床资料1.1一般资料本组15例。男9例,女6例。年龄32~65岁,平均51.2岁。其中腹茧症1例,严重肠粘连10例,克罗恩病1例,胃溃疡修补术后胃癌1例,结肠癌穿孔造瘘术后再手术2例。1.2肠内管制作用橡皮管全长3~4mm,内径约0.5cm,间隔10~15cm剪一侧孔,一端套入一段硬管或硬棒以方便放管。1.3手术方法常规消毒备用。手术进腹后松解粘连,常规游离全部小肠。如有肿瘤坏死肠管和病变集中的肠袢,在小肠保留足够长的情况下,给予切除,行肠管重建,游离时动作轻柔,
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