Recent Cases of Methyl Bromide Poisoning
Recent Cases of Methyl Bromide Poisoning
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近期甲基溴中毒事件
DOI：
10.1136/bmj.1.4544.254-a
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发表时间：
1948
影响因子：
--
通讯作者：
W. Dorward
中科院分区：
文献类型：
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作者：
W. Dorward
一个旧的腹部枪伤的情况下，其中14英尺（4.26米）的小肠从空肠中段到回肠末端被删除在广泛的坏疽手术造成的肠扭转由于坚实的粘连空肠腹壁。患者术后6周情况良好，体重增加。小肠的长度可能在15到30英尺（4.5到9米）之间变化;平均长度通常为22英尺（6.7米）。据记载，切除19英尺（5.8米）后的存活率，但没有非常明确的证据表明生命需要多少小肠，或者，实际上，有多少比例的患者在广泛切除术后存活，如本文所报道的。这一病例提示，一个人可能习惯于他的部分小肠的无功能，结果使自己适应于切除，而在其他情况下，切除很可能是致命的。54岁的EB在1917年腹部受了枪伤。他立即接受了剖腹手术，随后在1918年和1926年两次因肠梗阻接受手术。在后一次事件中，据报告发现小肠扭转并已缓解。在1927年至1945年期间，他偶尔感到疼痛，但没有阻塞发作。1922年，他的骨盆骨折，1934年，他被证明患有胃溃疡，为此他接受了多次治疗。
A case of an old gunshot wound of the abdomen is presented in which 14 feet (4.26 metres) of small intestine from the midjejunum to the terminal ileum was removed at an operation for extensive gangrene resulting from volvulus due to a solid adhesion of the jejunum to the abdominal wall. The patient was well and gaining weight six weeks after operation. The length of the small intestine may vary between 15 and 30 feet (4.5 and 9 metres); the average is usually stated to be about 22 feet (6.7 metres). Survivals after resections of up to 19 feet (5.8 metres) have been recorded, but there is no very clear evidence of how much small intestine is necessary for life, or, indeed, of what proportion of patients survive extensive resectiotis such as the one here reported. This case suggests that a man maybecome accustomed to the non-function of part of his small intestine and as a result accommodate himself to resections which in others might well prove fatal.CASE REPORT W. EB, aged 54, had received a gunshot wound of the abdomen in 1917. He had an immediate laparotomy, and was subsequently twice operated on for intestinal obstruction, in 1918 and 1926. On the latter occasion it was reported that a volvulus of the small intestine had been found and reduced. Between 1927 and 1945 he had occasional pains butno attacks of obstruction. In 1922 he sus-tained a fractured pelvis, and in 1934 he was shown to have a gastric ulcer, for which he received medicaltreatment on several occasions.