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为探讨大肠癌急性肠梗阻Ⅰ期手术的处理方法及并发症的预防 ,对 35例大肠癌患者 ,术前静脉使用有效抗生素 ,术中结肠减压灌洗 ,吻合口无张力 ,吻合口上端空虚 ,下端通畅 ,吻合口血供可靠 ,术后维持内环境稳定 ,加强支持治疗。 30例Ⅰ期肠切除吻合的患者仅 2例发生轻度肠瘘 ,均无粪性腹膜炎的表现。提示 ,大肠癌急性肠梗阻 ,经术前、术中及术后的正确处理 ,Ⅰ期手术是可行的。
In order to explore the treatment of colorectal cancer with acute intestinal obstruction in stage Ⅰ and the prevention of complications, 35 patients with colorectal cancer were treated with effective antibiotics in preoperative vein, intraoperative decompression lavage of colon, tension-free anastomotic, , The lower end of patency, anastomotic blood supply for reliable postoperative maintenance of stable internal environment, and strengthen supportive treatment. In the 30 patients with stage Ⅰ intestine resection and anastomosis, only 2 cases had mild intestinal fistula, and no manifestations of fecal peritonitis were found. Tip, colorectal cancer acute intestinal obstruction, by the correct preoperative, intraoperative and postoperative, stage Ⅰ surgery is feasible.