摘要: |
在27例实验驴人工结扎小肠造成机械性肠阻塞,于结扎后1、4、8小时分别作了临床和实验室多种项目的检查。八小时后,切除结扎的坏死肠管,于5、15、24小时,再作同样项目的检查。根据所得结果,对小肠机械性阻塞时的水、电解质平衡紊乱和酸碱平衡紊乱作了讨论。在14头试验驴人工结扎小肠,造成机械性肠阻塞,结扎前后分别测定了胃肠道不同部位的 pH,其结果:正常小肠液 pH 为8左右。结扎八小时后,胃液 pH 为5—5.5;结扎段前肠管的内容物 pH 为7—7.5,结扎段内为6—6.5,结扎段后面肠管的肠液和正常小肠液的 pH 相似。观察了结扎肠管前肠液和结扎肠管八小时后结扎段内、结扎前段肠内容物的细菌情况,观察结果证明:结扎段内和结扎段前肠内容物的细菌比结扎前肠液的细菌数目明显增多,主要致病菌为大肠杆菌。用上述三种肠液分别给小白鼠进行腹腔接种,结果绝大多数都死于败血症。结扎段前组死的最快,结扎段组次快,结扎前肠液组死的最慢。试验结果提示,临床手术时,不但应该注意排除机械性阻塞时坏死肠管的内容物,也应排除阻塞前段胃肠内的内容物,以消除这些内容物吸收后引起败血症休克。 |
关键词: 血细胞压积 小肠液 小白鼠 急腹症 结扎 电解质平衡紊乱 机械性 肠阻塞 肠内容物 大肠杆菌 |
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Abstract: |
Twenty seven clinically healthy asses were used in the study.In order to create mechanical obstruction artificially a segment of small intestine was ligated in each ass.Clinical and laboratory examina- tions were performed at 1,4,8,hour after ligature.Necrotic intes- tine was resected at 8 hour following ligature.Disorder in water and electrolyte balance as well as acid-base balance were discussed according to the results and observation. The pH values of small intestinal contents in 14 cases at different s... |
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