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On acute colon perforation with septic shock diagnosis and treatment of 3 cases
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On acute colon perforation with septic shock diagnosis and treatment of 3 cases
[Abstract] Objective colon cancer with septic shock treatment. Methods 3 cases of colon perforation with septic shock retrospectively, positive preoperative anti-shock, anti-infection and to strengthen support for symptomatic treatment, the correct way to double-lumen fistula surgery, the second surgery to remove the tumor. The results were confirmed by surgery colon cancer and acute perforation, 3 patients after treatment were clinically cured. Conclusion colon perforation with long duration and high mortality, aggressive treatment measures, simple and effective surgery can reduce the mortality of the disease, patients after active treatment is expected to be longer survival.
[Keywords:] colon perforation with septic shock Colon cancer and acute perforation with septic shock is a late complication of colon cancer, active treatment measures, simple and effective way to get a satisfactory surgical treatment. In our hospital from March 2008 to September 2010 were treated colon cancer and acute perforation with septic shock in 3 cases, are as follows.
1 Clinical data General Information The group 3 patients, 2 males and 1 female. Aged 52 -70 years of age. Clinical manifestations: abdominal pain, abdominal distention with nausea and vomiting. Forced defecation abdominal pain, sudden increase in 2 cases, a sudden increase of non-forced bowel movement abdominal pain in 1 case. gradually increasing abdominal distention in 1 case, chest tightness, heart palpitations and breathing difficulties in 2 cases. preoperatively with septic shock. signs feature: BP 90-100mmHg/50-60mmHg, P100-125 beats / min. shortness of breath, lung breath sounds thick, full of tenderness, rebound tenderness, and muscle tension. shifting dullness positive bowel sounds decreased or disappeared. routine blood test showed leukocytosis. X-ray showed pneumoperitoneum, free
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