Sunday, February 17, 2008

Ruptured colon

[Outlined -- colon injury incidence rate is lower than the small intestine, but the contents of the colon less liquid ingredients and bacterial content, peritonitis it appears late, but more serious. Part of the colon in retroperitoneal, easily missed injuries often lead to serious retroperitoneal infection. 【-- A diagnosis. Jejunum with organ damage features, and its incidence is lower than the small intestine. 2. By fecal bacterial contamination and large abdomen, can induce severe peritonitis. 3. Retroperitoneal part of the colon injury often leads to severe infection retroperitoneal. 【Treatment of colon wall -- as thin, poor blood supply, a large quantity of bacteria, the rupture of the colon is different from the treatment of intestinal rupture. Apart from a few small cuts, abdominal light pollution, general good of the patients, can be considered a repair or a resection and anastomosis (limited to the proximal colon), most patients require first Ostomized used for external or 71 for treatment until 3-4 weeks after the patient's condition improves, another fistula closure. Even with a repair or resection anastomosis, but also to its mouth near side for Ostomy. Fecal temporarily transfer flow and to avoid intestinal swelling, and the operation ended after the trip anal expansion, in order to ensure good healing. An earing small abdominal very light pollution, a possible patch, but the suture to be accurate and reliable. Break larger colon, abdominal contamination is not heavy, with good times, but also a viable repair proximal catheter ostomy. Repair Department to ensure good healing. 2, colon Break, abdominal injury and serious pollution, the patient generally poor, with colon or external ostomy operation, wait for his condition improved after surgery related fistula again. 3, surgery should attach great importance to the peritoneal washing can be used against aerobic and anaerobic bacteria in the liquid rinse drug preparation, and install drainage operation, the anti-infection treatment.

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