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教条,数据和决策:小肠阻塞治疗的历史
Gary A Bass1,2, Christopher J McLaughlin3, Lewis J Kaplan3,4
1Division of Traumatology, Surgical Critical Care and Emergency Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA. gary.bass@pennmedicine.upenn.edu.
World journal of emergency surgery : WJES
|January 13, 2026
概括
机械小肠阻塞 (SBO) 的诊断和治疗已经从古老的支持措施发展到现代的,基于证据的干预措施. 麻醉,放射和减压等关键创新改变了SBO管理.
科学领域:
- 手术 手术 手术
- 医学史 医学史 医学史
- 胃肠病学 胃肠病学
背景情况:
- 机械小肠阻塞 (SBO) 是一种自古以来已知的疾病.
- 本综述系统地检查了SBO诊断和治疗的历史演变.
- 重点放在手术里程碑,关键数字和成像和非手术疗法的进步上.
研究的目的:
- 系统地审查机械小肠阻塞 (SBO) 诊断和治疗的历史演变.
- 为了突出关键的外科里程碑,有影响力的外科医生和程序进步.
- 追踪成像和非手术治疗对SBO管理的影响.
主要方法:
- 对历史文本,专著和PubMed索引的文章进行了全面的搜索.
- 关于创新,外科医生,结果和知识共享的数据被抽取并按时间顺序合成.
- 叙事综合遵循学术评论的SANRA标准.
主要成果:
- 早期的SBO管理仅依赖于非手术措施.
- 显著的进步包括普拉克萨哥拉斯早期的外科手术倡导,帕雷重新引入修复,以及特雷夫斯的正式操作原则.
- 麻醉,消毒,放射,鼻胃吸管,抗生素和先进成像 (CT) 显著改善了诊断和降低了死亡率.
- 现代方法包括选择性非手术管理和最小侵入性粘合溶解.
结论:
- 机械SBO护理已经从基本的支持措施转变为结构化,基于证据的治疗.
- 代创新,包括麻醉,放射和减压,已经解决了特定的临床障碍.
- SBO管理是创新如何将高度病态的紧急情况转化为协议驱动的条件的典范.
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