实用临床医药杂志2012，Vol.16Issue(9)：35-37,3.
开放式双套管持续低负压引流治疗肠瘘合并腹腔感染(附29例报告)
Open double- lumen cannula lavage and continuous low negative pressure drainage in treatment of intestinal fistula complicated with intra- abdominal infection: A report of 29 cases
程志荣 1彭志洋 1耿忠泽 1周斌 1常来1
作者信息
- 1. 江苏省泰兴市人民医院普外一科,江苏泰兴,225400
- 折叠
摘要
Abstract
Objective To explore the method and effect using open double - lumen cannula lavage and continuous low negative pressure drainage in treatment of intestinal fistula complicated with intra - abdominal infection. Methods Retrospective analysis was conducted on the clinical data of 29 patients with intestinal fistula complicated with intra - abdominal infection who received treatment in our hospital from June 2006 to December 2011. All of the 29 patients were administered the technique of open double-lumen cannula lavage and continuous low negative pressure drainage. Results Twenty -four patients had direct open double -lumen cannula lavage, and the intra-abdominal infection was controlled with continuous low negative pressure drainage. The fistula then healed naturally. Five patients had symptoms of high fever and diffusive peritonitis after drainage of 3 to 5 days and had to receive surgery again. Intraoperative replacement of open double - lumen cannula and postoperative drainage were then conducted. Three patients were cured and 1 patient died due to multiple organ failure. One patient voluntarily left hospital. Conclusion Open double - lumen cannula lavage and continuous low negative pressure drainage can yield remarkable therapeutic effect on intestinal fistula complicated with intra - abdominal infection, and significantly decrease the need for a second surgery and mortality rate.关键词
双套管/腹腔感染/肠瘘Key words
double cannula/intra - abdominal infection/intestinal fistula分类
医药卫生引用本文复制引用
程志荣,彭志洋,耿忠泽,周斌,常来..开放式双套管持续低负压引流治疗肠瘘合并腹腔感染(附29例报告)[J].实用临床医药杂志,2012,16(9):35-37,3.
