上海交大外科学肠梗阻pbl 课件.pptVIP

Case two(scene1) Supine upright radiographs of the patient Case two(scene1) Case two(scene1) Water-soluble contrast enema Case two(scene1) Admitting diagnosis: Colonic obstruction. Q2: What is the treatment? Operation or Conservation ？ Case two(scene2) 见附页4 Case two(scene2) Q3：What is the special preparation before the operation？ Case two(scene2) 患者完善肠道准备后，于入院第9天行剖腹探查 术，术中见腹腔内无明显肿瘤，乙结肠部分冗长扩 张，内有肛管支撑，乙结肠系膜较短，降结肠无明 显充血水肿，内无明显肠内容物，行冗长部分乙结 肠切除术，并行一期吻合。患者恢复顺利，术后第 10天出院。 Discussion： Please compare case 1 with case 2. 1：History 2：Clinical manifestation 3：Auxiliary examin