【摘 要】 目的 探索安全、有效、能减轻患者痛苦的左半结肠急症一期切除吻合术。 方法 对28例因左半结肠肿瘤、扭转、外伤所致的左半结肠急症并需急诊手术的患者，进行一期切除吻合术，附加盲肠置管造瘘、结肠腔内置管肛门引出术，术中采用常规肠减压、结肠加压灌洗以及吻合口处放置腹腔引流等肠道综合处理措施。 结果 左半结肠急症一期切除吻合术28例，出现吻合口瘘1例，经保守治疗7d治愈，全组无一例死亡。 结论 经肠道综合处理左半结肠急症一期切除吻合术，是左半结肠急诊外科治疗一种较好的选择。

    【关键词】 结肠肿瘤;吻合术;结肠损伤;肠道综合处理

    Application of the Comprehensive Processing of Bowel for Primary Anastomosis after Left Hemicolectomy in Emergency LIU Jianzu.De-partment of Surgery，Xiaotang Hospital，Nahai District，Foshan 528222，China

    【Abstract】 Objective To explore effective and safe method of primary anastomosis after left hemicolectomy in emergency.Methods Pri-mary anastomosis after left hemicolectomywas done with a tube into cecum for drain，anal draining，and technique of on-table lavage and celiac drain-ing in28cases with acute left hemicolonic surgical diseases.Results None of the28patients died and one case with anastomosis fistula was cured after treatment for one week.Conclusion It indicated that comprehensive processing of bowel in primary anastomosis of left hemicolectomy in emer-gency has good clinical result with preoperative preparations and technic principle ......