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肠梗阻是临床常见的急腹症,绞窄性肠梗阻的死亡率可高达45%~30%,我们自1995年8月至1997年4月共收治肠梗阻53例,其中单纯性肠梗阻28例,经手术证实为绞窄性肠梗阻25例(其中肠坏死8例),在治疗前均测定血清磷、肌酸激酶及其同工酶,其结果:本组病例中血清磷升高者14例,其中以8例肠坏死为显著,肌酸激酶及其同功酶的升高也以绞窄性肠梗阻为明显,其中又以发病时间在48小时以内者和8例肠坏死者为著,因此,我们认为:血清磷、肌酸激酶及其同工酶的测定可以作为判断肠管是否发生绞窄及坏死的辅助诊断指标
Intestinal obstruction is a common clinical acute abdomen, strangulated intestinal obstruction mortality can be as high as 4.5% to 30%, we from August 1995 to April 1997 were treated 53 cases of intestinal obstruction, including simple bowel Obstruction in 28 cases, confirmed by surgery in 25 cases of strangulated intestinal obstruction (including intestinal necrosis in 8 cases), before treatment were measured serum phosphorus, creatine kinase and its isoenzymes, the results: the cases of serum phosphorus rise The high in 14 cases, of which 8 cases of intestinal necrosis was significant increase in creatine kinase and its isozyme also strangulated intestinal obstruction was obvious, of which the incidence of time within 48 hours and 8 cases of intestinal necrosis Therefore, we believe that the determination of serum phosphorus and creatine kinase and their isozymes can be used as auxiliary diagnostic indicators to determine whether there is strangulation and necrosis of intestine