Decompression of intestinal obstruction in patients with the choice of port site.docVIP

 PAGE \* MERGEFORMAT 8 Decompression of intestinal obstruction in patients with the choice of port site Of: keep it Cengqing Dong Zhou Gao Zhan-Yuan Bao jiangjia industry Sun Guorui [Keywords:] intestinal decompression, surgical Intestinal obstruction is common general surgical acute abdomen, bowel surgery is sometimes required decompression line. Decompression port sites may lead to serious consequences for poor choices. This study summarizes the typical case of decompression port site selection problems that need attention in order for clinicians to help. 1 Case information Case 1, male, aged 46, sustained severe abdominal pain, sudden 12 h diagnosed as “acute intestinal obstruction”, in August 15, 1990 in Taizhou City People’s Hospital underwent emergency surgery. Intraoperative see yellow exudate peritoneal solution of about 2 500 mL, expansion of the small intestine, diameter 7 cm, the whole week and a half turn clockwise the small intestine. middle line of the small intestine after reversing the reduction cut, suction aspiration into a lot of light gas and 3 000 mL bloody fluid, suture decompression port , warm salt water repeatedly washed the abdominal cavity. then see all of the small intestine Shanghong Run, flexibility can be, there peristalsis, mesangial vascular pulse is good. Trietz ligament decompression of mouth from about 150 cm, pelvic drainage tube home after the abdomen was closed. early postoperative recovery is still smoothly. 5 days after surgery the body temperature gradually increased, the first 7 days that incision redness, tenderness, a volatile part of the open incision and drainage of the more turbid pale yellow liquid and intestinal juice. by drainage and antibiotics treatment, the normal body temperature gradually, However, about 3 500 mL per day leads to intestinal fluid. angiography prompted about 150 cm from the ligament at Trietz intestinal fistula. conservative treatment of 30 d, progressive failure, then discha