论文部分内容阅读
伪膜性肠炎(PMC),又称抗菌素相关性肠炎(AAPMC)。是一种发病急、病程快、死亡率高的术后并发症。发生率为0.2~10%。作者经手术切除食管(贲门)癌83例,术后并发PMC2例,用婴儿粪便混悬液灌肠治疗,效果满意,现报告如下: 例1:患者,男,45岁,因食管中段癌梗阻入院,术中探查病变长9cm,行姑息性切除,食管—胃弓上吻合术。术后肌注青霉素160万单位/天,链霉素1克/天,静脉点滴氨苄青霉素8克/天,术后第三天诊断左侧乳糜胸,经保守治疗2天无效。二次开胸行胸导管结扎术,术后继续肌注青、链
Pseudomembranous colitis (PMC), also known as antibiotic-associated enteritis (AAPMC). Is a rapid onset, fast course, high mortality rate of postoperative complications. The incidence of 0.2 to 10%. The authors were surgically removed 83 cases of esophageal (cardia) cancer, 2 cases of postoperative PMC complicated with infant stool suspension enema, the results are satisfactory, are as follows: Example 1: The patient, male, 45 years old, due to obstruction of middle esophageal cancer admission , Intraoperative exploration lesion length 9cm, palliative resection, esophageal-gastric anastomosis. Postoperative intramuscular injection of penicillin 1.6 million units / day, streptomycin 1 g / day, intravenous ampicillin 8 g / day, the diagnosis of left chylothorax on the third day after surgery, conservative treatment for 2 days is invalid. Thoracotomy catheter thoracotomy line, after the continuous intramuscular injection of green, chain