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肠道的血运障碍是小儿腹部外科常见的急症。由于目前对肠缺血尚无确切可靠的早期诊断方法,加之部分患儿延迟就诊,常常使肠管的血液循环有不同程度的障碍。术中正确评价缺血肠管的活力直接关系到是否需要切除或保留病变的肠管,这对大范围的肠缺血尤为重要。肠缺血还可间接引起其他器官系统的损害,并被认为是休克和多器官功能衰竭(MS0F)的始因。基于此,近年来发展了多种术中评价肠活力的方法,综述如下。
Gut dysfunction is a common emergency in pediatric abdominal surgery. Due to the current lack of reliable and reliable early diagnosis of intestinal ischemia, coupled with delayed treatment of some children, often have different degrees of intestinal blood circulation disorders. Correct evaluation of intraoperative ischemia of the intestinal activity is directly related to the need to remove or retain the diseased bowel, which is particularly important for a wide range of intestinal ischemia. Gut ischemia can also indirectly cause damage to other organ systems and is considered a cause of shock and multiple organ failure (MS0F). Based on this, in recent years a variety of intraoperative evaluation of intestinal activity of the method, summarized as follows.