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患者,男,74岁。因大便带血2年于1995年8月14日以“肛管癌”收入院,并于8月28日在硬膜外麻醉下行Miles手术。术后3天开始进流质饮食,造瘘口通畅。每日排便2~4次。术后10日出现腹胀、阵发性腹痛、造瘘口停止排气排便。查体:腹部膨隆,可见肠型及其蠕动波,可闻及高调肠鸣音及气过水声,造瘘口指诊通畅。腹透:中腹部见多个气液平面,急诊再次剖腹探查,证实为距回盲瓣约30cm处回肠呈回—回—回型肠套叠。给手法挤压复位,复位后局部检查未见肿瘤、息肉、憩室等小肠
Patient, male, 74 years old. He was admitted to the hospital with “anal cancer” on August 14, 1995 due to bloody stools, and Miles was performed on epidural anesthesia on August 28. 3 days after the start of the liquid diet, mouth opening patency. Daily bowel movements 2 to 4 times. On the 10th day after surgery, abdominal distention, paroxysmal abdominal pain, and fistula stop and defecation were stopped. Physical examination: abdominal distension, visible intestinal type and peristaltic waves, can be heard and high-pitched bowel sounds and air over the water sound, fistula made patency. Peritoneal dialysis: In the mid-abdomen, a number of gas-liquid planes are seen. The emergency clinic is again followed by laparotomy. It is confirmed that the ileocecal valve is approximately 30 cm away from the ileocecal valve. Manipulation pressure reduction, local inspection after the reset did not see the tumor, polyps, diverticulum and other small intestine