肠绞窄

Internal hernias are clinically apparent only when incar cerated internal hernias result from small bowel obstruction; therefore, a delay in diagnosis may lead to strangulation and an increased risk of serious complications.

腹内疝仅在小肠梗阻发展到腹内疝嵌钝才表现出明显的临床症状，因此，延误诊断可导致肠绞窄并增加其他严重并发症的危险性。

Internal hernias are clinically apparent only when incar cerated internal hernias result from small bowel obstruction; therefore, a delay in diagnosis may lead to strangulation and an increased risk of serious complications.

腹内疝仅在小肠梗阻发展到腹内疝嵌钝才表现出明显的临床症状，因此，延误诊断可导致肠绞窄并增加其他严重并发症的危险性。你知道它的英文吗？

Nevertheless, even if the affected bowel loops at the abnormal anatomic location are not dilated and small internal hernias with low-grade obstruction are detected, we recommend that surgical colleagues use appropriate care to decrease hernial strangulation. Examples of such care include carefully monitoring the patient's vital signs and physical examination results or performing follow-up CT or gastrointestinal studies enhanced with intraluminal contrast material, including CT enteroclysis.

尽管处于异常解剖部位的受累肠管没有扩张，腹内疝较小，梗阻程度较轻，我们也推荐外科同事给予适当的护理减小疝性绞窄，例如详细的监护病人生命体征、进行体格检查、复查CT、使用管腔内造影剂的胃肠增强检查，包括CT肠造影术。

D Diagram of the surgical findings shows that approximately 180 cm of strangulated ileum, located 5 cm from the ileocecal valve, was herniated through the mesenteric defect.

手术所见的示意图显示距回盲瓣5cm的回肠有大约180cm发生绞窄，是经肠系膜上的缺损导致的疝。

The prognosis is always guarded,depending upon the level of obstruction, and upon the viability of the bowel wall, the length of time the bowel has been obstructed and strangulated, and the amount of bowel involved in the strangulation.

对其预后应谨慎对待，其预后取决于梗阻的位置，肠壁的存活力，肠道梗阻和绞窄的时间，发生绞窄的肠道多少。预后总是要谨慎对待的，根据梗阻的位置和肠壁的活力，肠梗阻和绞窄的时间长短和绞窄累及肠的程度而定。

At laparotomy performed 2 hours after CT, 350 cm of strangulated small intestine, located 70 cm from the ligament of Treitz, was found.

d简图显示了外科手术发现Waldeyer隐窝长约10cm，该例于 CT检查后2小时进行了剖腹手术，术中发现从Treitz 韧带下70cm开始，350cm长的绞窄小肠肠襻。

These showed that there was an accumulation of agent in strangulated ischemic bowel segment in strangulated loop group and mesenteric venous occlusion group.All results suggest that radionuclide visualization with SPECT could be a valuable method for early diagnosis of acute intestinal strangulation of strangulated loop type and mesenteric venous occlusion type.

本实验结果提示：闭袢型和静脉阻塞型绞窄缺血肠段早期有显像剂的聚集；SPECT的核素显像技术可作为早期诊断闭袢型和肠系膜静脉阻塞型肠梗阻有价值的辅助手段。

Early diagnosis of strangulating intestinal obstruction was difficult. Intestine necrosis may be prevented by analysing carefully the clinical features and related examinations.

绞窄性肠梗阻早期诊断困难，应根据临床特点和辅助检查，严密观察其动态变化，综合分析判断，把握手术时机，预防肠坏死的发生。

To Dec. 1999 was analysed retrospectively. Results: There were only 58 patients(41.7%) were diagnosed as strangulating intestinal obstruction before operation, the other 81 patients(58.3%) were diagnosed at laparotomy.

结果：术前确诊为绞窄性肠梗阻者仅有58例（41.7％），且大多数为肠坏死；其余81例（58.3％）则分别以单纯性肠梗阻或其他急腹症行剖腹探查而确诊。

Blood in the stool caused by many reasons can be divided into two categories, one's own bowel disease, can be divided into:① intestinal ulcers and inflammation, such as bacterial and amebic dysentery sputum, typhoid fever, ulcerative colon Yandeng;⑧ parasitic infections, such as hookworm, schistosomiasis, etc.;② tumors, such as cancer, colon cancer, intestinal polyps;④ intestinal blood circulation disorder, such as hemorrhoids, intussusception, intestinal strangulation, etc.;⑥ injury, such as anal fissure, stool drying equipment inspection or scratches.

由很多原因造成的便血，可分为两大类，自己的肠道疾病，可分为：①肠道溃疡和炎症，如细菌性和阿米巴性痢疾痰，伤寒，溃疡性大肠炎等；⑧寄生虫感染，如钩虫，血吸虫病等；②肿瘤，如癌症，结肠癌，肠息肉；④肠道血液循环障碍，如痔疮，肠套叠，肠绞窄等；⑥损伤，如肛裂，大便干燥，设备检查或划痕。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。