摘要
目的探讨原因未明上消化道大出血术中寻找出血灶的方法及其处理问题。方法总结７１例病人的临床资料，分析不同时期采用不同探查方法的诊断和治疗结果。结果本组总的病因诊断率为９３０％，止血率为８８７％，治愈率为８０３％，病死率为１９７％。１９８８年之后，由于采用了术中胃镜和分段冲洗法，获得了较满意的诊断和治疗结果。结论术中胃镜和分段冲洗法，有助于正确判断出血的原因和部位，也有助于选择适当的手术方式。
Objective\ To study the methods of search and management the bleeding site during laparotomy for the unidentified massive hemorrhage from the upper digestive tract.Methods\ The clinical data of 71 patients who suffered from this disease were analyzed.And the results of diagnosis and surgical operation in different phrases with different methods were compared in this paper.Results\ All of 71 patients,66 cases(93 0%)were etiologically confirmed intraoperation.63 cases(88 7%)stopped bleeding after operation.57 cases(80 3%)were cured.And the mortality rate was 19 7%.Due to the use of intraoperative gastroscopy and segmental irrigation,the better results of diagnosis and treatment were got from 1988 to now.Conclusion\ The use of intraoperative gastroscopy and segmental irrigation is helpful to identify the reason and the location of bleeding.And is helpful to select the proper surgical method.
出处
《中国实用外科杂志》
CSCD
北大核心
1999年第2期92-94,共3页
Chinese Journal of Practical Surgery
关键词
上消化道出血
内窥镜
手术
Digestive tract hemorrhage\ Endoscopy\ Irrigation\ Surgery operation
