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目的 :通过观察 ,分析航行中枪弹及锐器致犬腹部伤肠吻合手术后术犬生存情况 ,探讨海战情况下腹部肠管创伤的最佳手术方式 ,提高航行条件下肠吻合手术的操作技能。方法 :选取杂犬 36只 ,实施枪弹致伤 2 2只 ,锐器致伤 14只 (2组包括再次手术犬各 9只 ) ,航行条件下随机分组 ,紧急行肠管一层和二层吻合术 ,观察术犬手术后生存情况。结果 :①一层吻合术 18只犬术后仅 2只吻合口轻度狭窄但无明显梗阻 ,无吻合口漏或出血发生。二层吻合术 18只犬中有 9只存在不同程度的吻合口狭窄 ,其中 3只已构成梗阻。②一层缝合吻合口表面光滑 ,吻合口疤痕较二层缝合者明显小 ,吻合口通畅宽度大 ,同时吻合部肠管壁的蠕动性较二层缝合好 ,肠粘连程度轻。③一层吻合术比二层吻合术平均缩短 0 .5～ 1.0h。结论 :舰艇航行中枪弹及锐器致腹部伤的一层肠吻合法安全可靠 ,手术简单快捷 ,能为战时流水作业接台手术赢得更多时间。
OBJECTIVE: To observe the survival of surgical dog after bulbar and sharps-induced abdomen abdominal bowel anastomosis by observing and analyzing the best operation mode of intestine trauma in naval battle and to improve the operation skills of intestinal anastomosis under navigational conditions. Methods: Twenty-six dogs were randomly selected. Twenty-two gunshot wounds and 14 sharps injuries were performed. Two dogs (9 dogs in each group) were randomly divided into two groups according to sailing conditions. The first and second anastomoses , Observe the surgical survival of dogs. Results: ① The anastomosis of the first layer of 18 dogs was only 2 of the anastomotic mild stenosis but no obvious obstruction, no anastomotic leakage or bleeding occurred. Nine of the 18 dogs in the second floor anastomosis had different degrees of anastomotic stenosis, of which three had obstruction. ② a layer of stitched anastomosis surface is smooth, anastomotic scar significantly smaller than the stitches of the second floor, wide anastomotic patency, while the intestinal wall of the anastomosis better suture than the second floor, intestinal adhesion is light. ③ anastomosis than the second floor anastomosis shorten an average of 0.5 ~ 1.0h. CONCLUSIONS: The one-layer intestinal anastomosis of bullets and sharp wounds caused by naval vessels is safe and reliable, the operation is quick and easy, and more time can be gained for the operation of pipeline assembly in wartime operations.