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溃疡性结肠炎按其侵犯部位分为直肠炎型、左半结肠炎型与全结肠炎型。按病情分为轻症,中度与重症。手术治疗的对象主要是全结肠型重症患者。多数患者伴有贫血、低蛋白血症,给以皮质激素治疗而延缀手术时间对患者的预后有明显影响。重症溃疡性结肠炎术后死亡率非常高,Goligher 提出早期手术可降低术后死亡率,肠穿孔的比率可从32.5%降至11.0%。重症溃疡性结肠炎紧急手术的死亡率明显高于择期手术,日本报告择期手术的死亡率仅6%,而紧急手术的死亡率高达35.6%。努力改善全身状况,选择安全时间进行手术,可降低手术死亡率。从此观点来看动脉注射疗法是可以试行的,其治疗效果优于Treulove 氏提出的5天强化静脉注射疗法。从病情的研究证实,有可能成
Ulcerative colitis is divided into rectitis type, left type of colitis type and whole colitis type according to their infringing parts. According to the disease is divided into mild, moderate and severe. Surgical treatment of patients with mainly colon-type severe patients. Most patients with anemia, hypoproteinemia, to give corticosteroid treatment and delay the operation time has a significant impact on the prognosis of patients. Severe ulcerative colitis mortality after surgery is very high, Goligher proposed early surgery can reduce postoperative mortality, intestinal perforation rate from 32.5% to 11.0%. The mortality rate of emergency surgery for severe ulcerative colitis was significantly higher than that of elective surgery. Japan reported only 6% mortality during elective surgery, while the mortality rate of emergency surgery was as high as 35.6%. Efforts to improve the general condition, choose safe time for surgery, can reduce the surgical mortality. From this point of view arterial injection therapy can be pilot, the treatment effect is superior to Treulove’s proposed 5-day intensive intravenous therapy. Confirmed from the study of the disease, it is possible