摘要
目的总结肠结核并发肠瘘的诊治体会,为临床提供参考。方法回顾性分析我院2010—2012年收治的5例肠结核并发肠瘘患者的治疗情况,记录患者的预后和转归,入院时、术前、出院前相关实验室检查指标。结果本组5例患者中经保守治疗自愈1例,术后治愈3例,再次肠瘘1例;经积极治疗后,患者术前相关实验室检查指标均有不同程度的改善,出院前基本恢复到正常水平。结论充分有效的持续负压冲洗引流,普通抗感染和抗结核治疗并重,适当的营养支持是肠结核并发肠瘘治疗的关键措施,待患者一般条件改善后可再次行确定性手术以彻底治愈肠瘘。
Objective To summarize the diagnosis and treatment of intestinal tuberculosis complicated with intestinal fistula.Methods Five cases of intestinal tuberculosis complicated with intestinal fistula treated in our hospital between 2010 and 2012 were retrospectively analyzed.Prognosis and outcome,as well as laboratory test results at admission,before operation and at discharge of the 5 cases were reviewed and recorded.Results One case recovered from conservative treatment,3 cases recovered after operation,fistula recurred in 1 case postoperatively.Preoperative laboratory parameters significantly improved than the time of admission and restored normal levels at discharge.Conclusion Effective vacuum suction,adjuvant regular anti-inflammatory drugs and anti-tuberculosis chemotherapy,and appropriate nutritional support were key elements of perioperative management of intestinal tuberculosis complicated with intestinal fistula.Definitive surgery may be considered when the patients′condition has improved.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第8期901-903,共3页
Chinese General Practice
关键词
结核
胃肠
肠瘘
胃肠外营养
肠内营养
Tuberculosis,gastrointestinal
Intestinal fistula
Parenteral nutrition
Enteral nutrition
