摘要
目的探讨胃去动脉术治疗急性胃粘膜病变大出血的效果。方法对16例经内科治疗无效的急性胃粘膜病变大出血者结扎胃左右动脉和胃网膜左右动脉。结果全部即刻止血,无再出血,死亡1例。其中随访12例,时间10个月～8年,未发现并发症。临床分析提示,低血压、肝功能损害、严重感染、酸中毒、尿毒症等是急性胃粘膜病变的危险因素。结论胃去动脉术操作简单、安全、效果确定、创伤小,不失为急性胃粘膜病变大出血内科治疗失败后可选择的术式之一。
Objective To evaluate the curative effects of gastric devascularization(GD)for acute gastric mucosal le- sion(AGML)and bleeding.Method Sixteen patients with AGML and bleeding were treeted with ligating the left and right gastric arteries and the left and right gastroepiploic arteries.Result Bleeding stopped immediately after the procedure,one died of the surgery.There was no ischemic necrosis and ulceration of the stomach and gastrointestinal malfunction.Rebleeding was not encounted during the follow-up period of ten months to eight years.Risk factors for AGML bleeding include low blood pressure,damage of liver function,serious infection, acidosis and uremia.Conclusion Gastric devascularization could rapidly stop bleeding,is technically simple to perform with lesser trauma,and is an alternative therapy for the treatment of AGML bleeding.
出处
《中华普通外科杂志》
CSCD
1998年第4期219-221,共3页
Chinese Journal of General Surgery
关键词
胃粘膜病变
胃肠出血
胃去动脉术
Gastric mucosa
Gastrointestinal hemorrhage
Vascular surgery
