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目的:探讨急诊左半结肠切除Ⅰ期吻合术的安全性。方法:回顾性分析63例因左半结肠癌致急性肠梗阻、外伤致左半结肠破裂而未实施肠道准备急诊行左半结肠切除Ⅰ期吻合手术患者的临床资料。结果:56例痊愈出院;并发切口感染2例,吻合口瘘3例,腹腔感染2例,均经对症处理后临床痊愈。无死亡病例。结论:严格掌握手术适应证,术中肠道冲洗,急诊行左半结肠切除Ⅰ期吻合术是可行的。
Objective: To investigate the safety of emergency Ⅰ left anastomosis in the case of anastomosis. Methods: The clinical data of 63 patients with acute intestinal obstruction caused by left colon cancer and the left colon with rupture caused by trauma but not with the intestine preparation for emergency one - stage anastomosis underwent left colon resection were retrospectively analyzed. Results: 56 cases were cured and discharged; 2 cases were complicated by incisional infection, 3 cases were anastomotic fistula and 2 cases were abdominal infection. All patients were recovered after symptomatic treatment. No deaths. Conclusion: Strict control of surgical indications, intraoperative intestinal flushing, emergency line left anastomosis surgery is feasible.