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本文旨在报告Johns Hopkins医院对小肠急性缺血性疾病,术中应用多勃勒、萤光素和临床判断小肠活力的前瞻性对照研究的结果。患者共28例,是连续地在手术中诊断的病例,计男性15例、女性13例,平均年龄53岁(17～84岁)。23例为绞窄性肠梗阻,其中腹壁疝嵌顿4例,内疝和肠扭转19例。不包括病变难以矫正的病人,因为,任何方法都难以准确预计这种病变的发展过程。在小肠缺血性病因矫正后至少15分钟,单靠肉眼判断就能将小肠分为几个不同的肠段,因此,作者在28
This article aims to report the results of a Johns Hopkins hospital trial of small bowel acute ischemic disease, intraoperative use of Dobre, luciferin, and a prospective, controlled clinical study of intestinal viability. A total of 28 patients were consecutive cases of surgery in the diagnosis, including 15 males and 13 females, mean age 53 years (17 to 84 years). 23 cases of strangulated intestinal obstruction, incarcerated in 4 cases of abdominal hernia, internal hernia and intestinal torsion in 19 cases. It does not include patients whose lesions are difficult to correct because any method can not accurately predict the progression of the lesion. In at least 15 minutes after the etiology of intestinal ischemia, the small intestine can be divided into several different bowel segments by the naked eye alone. Therefore,