摘要
目的 探讨上消化道大出血术后再出血应吸取的教训和处理对策。方法对56例上消化道大出血术后再出血的原因进行分析。结果37例再次手术，治愈33例（89．2％），死亡4例（10．8％）；经腹腔内动脉插管介入治疗2例，止血成功1例，另1例再行手术治愈；非手术治疗18例，治愈10例（55．6％），死亡8例（44．4％）。12例死亡病人再次出血距首次手术时间均在48h内。结论对该类病人采取手术或非手术治疗关键是寻找再出血的部位和原因以及用非手术疗法止血，并掌握好再手术的时机和正确的探查方法。
To explore the cause and treatment of recurrent bleeding after the operation on massive hemorrhage in the upper digestive tract. Methods The causes of 56 cases of recurrentbleeding were analyzed. Results Among the 56 cases, 37 were operated again, 33 (89. 2%) beinghealed and 4(10. 8% ) dead. 18 cases received non-surgical treatment, 10(55. 6% ) were healed and 8(44. 4%) died. The recurrent bleeding of the 12 patients all occurred within 48 hours after their firstoperations. Conclusion Treatments, surgical or non-surgical, mainly depend on the cause and positionof recurrent bleeding, and also on the correct choices of time and method of re-operation.[
出处
《中国全科医学》
CAS
CSCD
1999年第1期26-28,共3页
Chinese General Practice
关键词
上消化道出血
术后
再出血
内镜
治疗
Upper gastrointestinal bleeding Recurrent bleeding Gastrofiberscope Operation
