Sunday, November 21, 2010

承上題,若經過一天之靜脈營養和輸液、注射抗生素及大腸減壓等療法後,病況仍未見改善,則該如何緊急處理較好?
全大腸切除及迴腸直腸吻合術
全大腸切除及迴腸造口術,加上Hartmann’s pouch
大腸直腸肛門全切除及迴腸造口術
全大腸切除及迴腸袋肛門吻合術(Ileal pouch-anal anastomosis)一次完成

FOR UC WITH TOXI MEGACOLON NOT RESPONSIVE TO TREATMENT

ANS B


Hartmann's operation is the surgical resection of the rectosigmoid colon with closure of the rectal stump and colostomy. It was used to treat colon cancer ordiverticulitis.

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