On the enterocutaneous fistula caused by appendicitis after treatment.docVIP

 PAGE \* MERGEFORMAT 9 On the enterocutaneous fistula caused by appendicitis after treatment [Paper Keywords] enterocutaneous fistula; appendicitis surgery; abdominal; infection [Abstract] Objective: To investigate the enterocutaneous fistula treatment method for: early enterocutaneous fistula to correct water and electrolyte and acid-base balance, adequate drainage, and leakage of intestinal fluid-based infection control; medium to enhance the nutritional support to maintain vital organ function and further infection control based; later than the condition has stabilized, the unhealed fistula, identify the reason for definitive surgery. Results: Two patients with intraperitoneal or low single-tube suction drainage plus enteral nutrition fistula healing process, and the other four cases of high flow through the pre-treatment of intestinal fistula after 2-6 months of stable recovery. Conclusion: As long as patients who pay attention to basic skills training, formal operations, and changes in detection and treatment of disease, appendectomy enterocutaneous fistula after more than can be avoided. Enterocutaneous fistula is abnormal channels and in vitro intestine, intestinal contents out through this channel in vitro, and the resulting infection, homeostasis imbalance, malnutrition, and impaired organ function and a series of pathological changes. Parenteral fistula occurred in the surgery, the surgical critical care is one serious impact on patient quality of life, even life-threatening [1] the author in June 2004 in our hospital - June 2006, six cases of intestinal fistula clinical data analysis as follows: 1 Materials and Methods 1.1 Clinical data This group of six cases, including 5 cases of acute appendicitis surgery, 1 case of chronic appendicitis surgery, were diabetes, cancer and other diseases. 4 males, 2 females, aged 27 to 63 years; intestinal fistula time after 11 days to 1 year. ileal fistula in 4 cases, cecal fistula in 2 cases, 4