台灣外科醫學會雜誌

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篇名	Surface Mucosal Temperature Predicts Viability of Intestinal Stoma
作者	Tzu-Chi Hsu, Ming-Jen Chen
卷期/出版年月	28卷5期 (1995/10)
頁次	349-352
摘要	Ischemia and necrosis of stoma are caused by inadequate blood supply. Viability of the intestine can be assured by observing its color, arterial pulsations and peristalsis. Skin temperature was used as a guide to tissue perfusion after replantation. Purpose: The aim of this study was to determine whether mucosal temperature is a good indicator of the viability of a stoma. From February 1991 to November 1991, 62 patients with stomas entered the study; 35 of them were male and 27 were female; ages ranged from 22 to 88 years (average 55.3 years old). Among the cases, 47 were colostomies and 15 were ileostomies. Sigmoid end colostomy were the stomas most frequently constructed. Three ischemic stomas were encountered. A YSI Model 43 Tele-Thermometer with 400 series probe was used to measure mucosal temperature. No difference between surface mucosal temperature (SMT) and abdominal skin temperature (AST) was observed. No difference between luminal mucosal temperature (LMT) and oral temperature (OT) was observed. LMT was above 36℃ in all except two stomas. SMT was below 34℃ in four stomas. Three of those four stomas were found to be ischemic. Conclusion: Observations suggested that surface mucosal temperature below M℃ may be a warning sign of stomal ischemia. Luminal mucosal temperature was affected by core .temperature, and was not a good indicator for predicting viability of stoma.
關鍵詞	ischemia, stoma, mucosal temperature.
分類	Original Article