摘要
特殊疾病合并痔出血是临床上常见疑难病例,手术创伤大、风险高,易增加术后并发症的发生,延长住院时间,甚至危及患者的生命安全。针对这部分患者,通常采取保守治疗或创伤微小的注射疗法。2017年本专业委员会规范化芍倍注射疗法操作流程并制定相应临床指南,仍缺乏特殊疾病合并痔出血指导意见。鉴于此,本指南编写委员会的专家基于目前医学条件,结合多年临床实践,经过反复多次讨论,综合多学科观点,针对凝血功能障碍、高血压、糖尿病、门脉高压、肾功能障碍、免疫缺陷、抗栓治疗等特殊疾病患者,制定相应临床处理策略,主要强调术前基础疾病管理、麻醉方式选择及术中注意事项。
Special diseases with hemorrhoid hemorrhage are intractable cases in clinical practice. Surgery may result in serious trauma and high risk,such as higher morbidity of postoperative complication,delayed hospital stay,and even death. These patients usually underwent conservative therapy or injection therapy. In 2017,our Professional Committee standardized the procedure of Shaobei injection and established the clinical guideline,but still lacked guidance for special diseases with hemorrhoid hemorrhage. In view of this,based on current medical conditions,combined with years of clinical practice,after repeated discussions,comprehensive multidisciplinary perspectives on patients with special diseases such as coagulopathy,hypertension,diabetes,portal hypertension,renal dysfunction,immunodeficiency,and antithrombotic therapy,the experts of this guideline-writing committee formulate the corresponding clinical management strategies,mainly emphasizing on preoperative management of underlying disease,choice of anesthesia methods,and precautions during surgery.
出处
《中华胃肠外科杂志》
CAS
CSCD
北大核心
2019年第7期694-696,共3页
Chinese Journal of Gastrointestinal Surgery
关键词
痔出血
特殊疾病
芍倍注射疗法
指南
Hemorrhoid hemorrhage with special diseases
Shaobei injection
Guideline
