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外科片区

医学科普

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发布时间: 2015-07-02       浏览量: 708

YI、SHENMESHICHANGLOU?

CHANGLOU(intestinal fistula)SHIZHICHANGBISHANGYOUYICHANGCHUANKONGZHISHICHANGNEIRONGWUYOUCILOUCHUTIBIAOHUOJINRUFUNEIQITAKONGQIANGZANGQIZHONG。LOUCHUTIBIAODECHENGWEIWAILOU,TONGRULINGYICHANGPANHUOQITAKONGQIANGZANGQIDECHENGWEINEILOU。

ER、CHANGLOUDEFABINGYUANYINYOUNAXIE?

CHANGLOUDECHANSHENGYUANYINKEYISHIXIANTIANXINGDEFAYUQUESUN,YANZHENG、ZHONGLIU、WAISHANGYIJISHOUSHUWUYIHUOYOUYIZAOCHENGDE。JINNIANLAI,SUIZHEJICENGYILIAOFUWUSHUIPINGHENENGLIDETIGAO,GELEIGAOJIBIESHOUSHUDEKAIZHANZAIWEIZHONGDUOWAIKEBINGHUANJIEJUEBINGTONGDETONGSHI,SUIZHIERCHANSHENGDESHUHOUBINGFAZHENGYEJIAOYIWANGMINGXIANZENGDUO,GUDANGQIANLINCHUANGJIANDAODECHANGLOUYUELAIYUEDUOYUANYUWAIKESHOUSHUHOUDEBINGFAZHENGHUANZHE。QIFASHENGYUANYINJIYOUWAIKESHOUSHUJINENGSHUIPINGDEYINSU,TONGSHIYEYUWEISHOUSHUQIDECHULI、GAOLINGHUANZHEDEZENGDUO、HEBINGTANGNIAOBINGDENGJICHUBINGJIGEZHONGWENHE、BIHEQIXIEDESHIYONGDENGYOUYIDINGXIANGGUANXING。

gd视讯网SAN、CHANGLOUYOUNAXIELEIBIE,GEYOUNAXIETEDIAN?

1.ANLOUNEIKOUBUWEIFENLEIGENJULOUNEIKOUSUOZAICHANGPANDEBUWEIFENWEIGAOWEILOUHEDIWEILOU,CHANGJIANGWEIYUWEI、SHIERZHICHANGJIKONGCHANGSHANGDUANDELOUDINGWEIGAOWEILOU,JIANGWEIYUKONGCHANGXIADUAN、HUICHANGJIJIECHANGDELOUDINGWEIDIWEILOU。GAOWEILOUNENGLIUSHIDALIANGDEDIANJIEZHIHEXIAOHUAMEI,YIZAOCHENGSHUI、DIANJIEZHIPINGHENGWENLUANJIYINGYANGBULIANG,ERDIWEILOUGENGYIYINQIGANRAN。

2.ANLOUDEXINGTAIFENLEIGENJULOUDEXINGTAIKEFENWEIWANQUANLOU、CHUNZHUANGLOU、GUANZHUANGLOU。WANQUANLOUDECHANGNEIRONGWUQUANBUHUOJUEDABUFENYOULOUKOULIUCHU;CHUNZHUANGLOUDECHANGNEIRONGWUYIBUFENYOUWAIKOULIUCHU,YIBUFENZELIURUYUANDUANCHANGGUAN;GUANZHUANGLOUDECHANGNEIRONGWUDABUFENLIURUYUANDUANCHANGGUAN,JINYOUXIAOBUFENYOULOUKOULIUCHUTIBIAO。

gd视讯网3.ANLOUKOUDUOSHAOFENLEIGENJULOUKOUDEDUOSHAOKEFENWEIDANGELOUHEDUOFAXINGLOU。

SI、CHANGLOUJUTIYOUNAXIELINCHUANGBIAOXIAN?

JUBUTEZHENGSHANG,CHANGLOUZUIMINGXIANDETEDIANJIWEICONGLOUKOULIUCHUCHANGNEIRONGWU,NEIRONGWUDELIANGHEXINGZHIYOULOUDEWEIZHIHEDAXIAOJUEDING。SHIERZHICHANGLOUSHILIUCHUWUWEIHANDANZHIDECHANGYE,MEIRILIANGGAODA3~4L,YOUSHIYUJINSHIHOUBUJIUKEJIANWEIXIAOHUADESHIMILIUCHU。KONGCHANGLOULIUCHUWUWEIDANHUANGSEDANHUAYANGYE,HUICHANGLOULIUCHUWUDUOWEIXIHUZHUANG,JIECHANGLOULIUCHUWUDUOWEIBANCHENGXINGHUOBUCHENGXINGDEFENBIAN。RUOLOUKOUHENXIAOZEKENENGZHIYOUQITIHUOSHAOLIANGFENMIWUPAICHU。

YOUXIECHANGLOUHUANZHEHAIBANYOUQUANSHENXINGDELINCHUANGZHENGZHUANG。BUFENGAOWEICHANGLOULOUCHULIULIANGDA,YIZAOCHENGDESHUI、DIANJIEZHI、SUANJIANPINGHENGSHIDIAO、YINGYANGBULIANG,QIERONGYIYINQIYANZHONGGANRAN。CIWAI,LOUKOUZHOUWEIPIFUSHOUXIAOHUAMEIFUSHIKEGUANGFANKUILAN、TENGTONG,RUOJIFAGANRANKEXINGCHENGFUNEINONGZHONG,YEKEDAOZHIQUANSHENGANRAN,RUBAIXUEZHENG。RUCHANGNEIRONGWULIURUQITAKONGQIANGZANGQIHAIHUICHUXIANGAIZANGQISHOULEIDEZHENGZHUANG。

WU、CHANGLOUBINGQINGRUCIFUZA,GAIZENMEZHILIAONI?

gd视讯网CHANGLOUDEZHUYAOZHILIAOYUANZEYOUYIXIAJIFANGMIAN:

gd视讯网1.CHUANGMIANJILOUKOUBUWEIDETONGCHANGYINLIU,FANGZHIJUBUJIQUANSHENXINGGANRAN。

gd视讯网CHUANGMIANJIDOUKOUBUWEIDEWURANWUYINLIUYIZHISHICHANGLOUZHILIAOZHONGDEGUANJIANHUANJIE,CHULIYINLIUSHOUDUANDEYOUXIAOYUFOUZHIJIEGUANXIDAOLOUKOUZHOUWEIZUZHIJIQUANSHENGANRANDEZHILIAO,SHIYOUGUANCHANGLOUZHILIAOCHENGBAIDESHUNIU。NANCHANGDAXUEDISANFUSHUYIYUANWEICHANGGANGMENWAIKEZAICHANGLOUJIGELEIFUZAXINGNANYUCHUANGMIANZHILIAODEGUOCHENGZHONG,TONGGUOGUONEILINGXIANDEYINLIUXIADEFENGBISHIFUYAXIYINJISHU(YONGYOUGUOJIASHIYONGXINGXINXINGZHUANLI),NENGGOUJIJIADEBAOCHICHUANGMIANDEQINGJIE,CONGERSHIDEGEZHONGFUZACHANGLOUHUANZHEDEZHILIAOXIUFUSUDUDADATIGAO,BINGZAIWEISHIYONGRENHEKANGSHENGSUDEJIBENSHANGRENGNENGYOUXIAOKONGZHILOUKOUZHOUWEIZUZHIJIFUQIANGNEIDEGANRAN,ZAICHANGLOUDEYINLIUJISHUSHANGCHUYUQUANGUOLINGXIANSHUIPING。

2.CHANGNEIWAIYINGYANGZHICHIZHILIAO,JISHIJIUZHENGSHUI、DIANJIEZHI、SUANJIANPINGHENGSHIDIAO;

gd视讯网CHANGWAIYINGYANGZHILIAOSHICHANGLOUZHILIAOLINGYUDEYIDAZHONGDATUPO,GAIZHILIAODEYINRUDADATIGAOLECHANGLOUDEZHILIAOSHUIPING,YOUQIWEIWEIZHONGXINGDECHANGLOUHUANZHEDEZHILIAOTIGONGLELIANGHAODEYINGYANGTIAOJIAN,JIYISHENGYU“CHUANXI”DEJIHUI,ERJINNIANLAI,SUIZHEDUIYUCHANGDAOYINGYANGGONGNENGDEYANJIUSHENRU,CHANGNEIYINGYANGDEZHONGYAOJIAZHIYERIYIWEIYENEISUOZHONGSHI。NANCHANGDAXUEDISANFUSHUYIYUANWEICHANGGANGMENWAIKEZUOWEIJIANGXISHENGCHANGLOUCHANGNEIWAIYINGYANGPEIXUNJIDI,ZAICHANGNEIWAIYINGYANGZHICHIZHILIAOFANGMIANYOUZHEFENGFUDEZHILIAOJINGYAN,TONGGUOGENJUGEZHONGCHANGLOUBINGHUANDEBINGQINGTEDIANXIANGYINGJIYUGETIHUAJIGUIFANHUADECHANGNEIWAIYINGYANGZHICHIZHILIAO,YOUQITONGGUOQUANSHENGLVXIANKAIZHANJINGMAISHUYEGANGJISHUWEIZHANGSHIJIANDECHANGWAIYINGYANGZHILIAOTIGONGGENGYOUZHIDEJINGMAIJIYAOTONGLU,ZAIXIANGGUANLINGYUYIZOUZAIQUANSHENGQIANLIE。

3.LOUKOUHOUQIFENGDUJIQUEDINGXINGSHOUSHUZHILIAO。

gd视讯网SUIZHEJINNIANLAI,CHANGNEIWAIYINGYANGZHICHIJISHUDETIGAOJISHENGZHANGYISUJISHENGZHANGJISUZAICHANGLOUZHILIAOLINGYUNEIDEGUANGFANYINREN,CHANGLOUDEZIYULVDEDAOMINGXIANTIGAO,YOUQISHIGUANXINGLOU,ZIYULVKEDADAO40%~60%。DANJISHIRUCI,LOUKOUDEFENGDUJIQUEDINGXINGSHOUSHURENGSHIXUDUOCHANGLOUHUANZHEDEZUIZHONGXUANZE。NANCHANGDAXUEDISANFUSHUYIYUANWEICHANGGANGMENWAIKECHANGLOUZHILIAOTUANDUIZAICHANGLOUDEFENGDUZHILIAOJIQUEDINGXINGSHOUSHUZHILIAOFANGMIANJUYOUZHUANKEHUADEFAZHANYOUSHI。GAITUANDUIDAITOUREN,RAOBENQIANGJIAOSHOU,ZHONGSHANDAXUEBOSHI,YELUDAXUEBOSHIHOU,CENGZAINANJINGJUNQUFUZHOUZONGYIYUANCONGSHICHANGLOUDEYANJIUYUZHILIAOSHIYUNIAN,DUICHANGLOUDEZHILIAOYOUZHEJIWEIFENGFUDELINCHUANGJINGYAN。CIWAI,ZUOWEIJIANGXICHANGLOUZHILIAOLINGYUDELINGTOUYAN,WOKESHIYUNANJINGJUNQUZONGYIYUANLIJIESHOUYUANSHI,LINING、RENJIANANJIAOSHOUDENGCHANGLOUZHILIAOJIEDETAIDOUYOUZHEGUANGFAN、CHENGSHUDELIANXIYUHEZUO,WEIFUZACHANGLOUHUANZHEZUBUCHUSHENGJINENGDEDAOLIANJIAYOUZHIDECHANGLOUZHILIAOFUWUTIGONGLELIANGHAODEZHILIAOPINGTAI。

gd视讯网ZUIHOU,XIWANGZHEIXIEWENDANENGBANGZHUGUANGDADUZHEMENDUICHANGLOU——ZHEIZHONGWEICHANGWAIKEDEZHONGZHENGJIBINGYOUXIEJIANDANDELEJIE,BINGDUIWOSHENGDECHANGLOUZHILIAOSHUIPINGJINZHANYOUGENGXINDERENSHI。




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