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纤维内窥镜检查所致的肠穿孔虽不常发生,但一旦发生,对生命有潜在威胁。乙状结肠的过度伸展,窥镜尖端用力顶撞肠壁,窥镜推进时遇到转向的肠段力量过重或应用过度的空气压力等机械因素均可引起肠穿孔。使用高频电刀行息肉切除时亦可致肠穿孔。及时发现,当即剖腹行肠修补术。延误诊断形成局限性腹膜炎,则应用非手术疗法。如已酿成弥漫性腹膜炎,应即手术治疗。作者在5年中共作结肠镜检1,785例,其并发症如表示,其中1例1.5cm肠穿孔患者应用保守疗法治
Bowel perforation caused by fiberopticoscopy is infrequent, but in the event of a potential threat to life. The sigmoid colon is over-stretched, and the tip of the speculum pushes against the bowel wall. When the speculum advances, the intestines of steering intestines are over-stressed or excessive air pressure is applied to cause bowel perforation. Use of high-frequency electric knife line can also cause intestinal perforation when polyp excision. Timely discovery, immediately Caesarean section intestinal repair. Delayed diagnosis of the formation of localized peritonitis, the application of non-surgical therapy. If it has resulted in diffuse peritonitis, should be surgery. The author in a 5-year co-colonoscopy 1,785 cases, the complication as indicated, of which 1 case of 1.5cm intestinal perforation patients with conservative treatment