摘要
Abstract
Objective To explore the feasibility of one - stage surgery for traumatic rupture colonale. Methods 65 patients with traumatic rupture colonale admitted to our hospital from March 2006 to February 2011 were selected. The traumatic levels were classified according to Flint, with 24 cases of Flint 1,38 cases of Flint II and 3 cases of Flint 1. 8 cases were combined with hepatic rupture, 7 cases were combined with rupture of spleen, 6 cases were combined with intestinal lesion and 4 cases were combined with hemopneumothorax. All the patients were given one - stage surgery. Results 51 cases had repair surgery
and 14 cases had cutting anastomosis surgery.The surgeries were all successful and no surgical or anesthesia sccident happened.54
cases recovered after surgery with a success rate of one-stage surgery of 83.1%.8 cases were given two-stage surgery,in which
3 cases died. 9 cases ( 7 Flint II cases and 2 Flint I cases ) had complications, of which 4 cases had intra - abdominal abscess, 3 cases had intestinal fistula and one case had intestinal obstruction and intestinal adhesion. One case died of intra - abdominal ab-
scess and the other 8 cases with complications were given two-stage surgery,of which one case died during operation and one
case died from shock after surgery. Among the 3 dead cases, one was 43 years old with hypertension history and were in Flint II , and 2 cases were in Flint IE and combined with liver injury. Conclusion The performing of surgery on patients with traumatic rupture colonale is decided by the physical condition and traumatic levels. The physical condition includes physique and complied-tions, and the traumatic levels include Flint classification and whether anastomosis surgery is necessary.关键词
结肠/破裂/外科手术Key words
Colon/Rupture/Surgery procedures, operative分类
医药卫生
