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目的探讨肠道清洁在恶性梗阻性黄疸患者术前准备中的应用。方法1996年7月~2007年6月间共359例恶性梗阻性黄疸患者术前进行肠道清洁准备,其中114例进行改良口服全肠道灌洗法,245例采用口服甘露醇法,对两组肠道清洁度、患者耐受性、术后肠道恢复时间和水电解质紊乱情况进行比较。结果改良肠道清洁法对恶性梗阻性黄疸患者水电解质影响小,患者耐受性好,清洁效果好。结论术前肠道清洁准备应当作为重视恶性梗阻性黄疸围手术期的重要措施予以足够重视。
Objective To investigate the application of intestinal cleaning in preoperative preparation of patients with malignant obstructive jaundice. Methods Between July 1996 and June 2007, 359 patients with malignant obstructive jaundice were enrolled in this study. One hundred and forty-four patients underwent oral gavage, 245 oral oral mannitol, Group intestinal cleanliness, patient tolerance, postoperative intestinal recovery time and water and electrolyte imbalance were compared. Results Improved intestinal cleaning method of malignant obstructive jaundice in patients with little effect on water and electrolyte, patients with good tolerance, good cleaning effect. Conclusions Preoperative bowel preparation should be taken as an important measure during the perioperative period to pay attention to malignant obstructive jaundice.