中国医学创新Issue(21)：66-68,69,4.DOI:10.3969/j.issn.1674-4985.2014.21.021
内镜下联合治疗胃肠吻合术后24 h内吻合口出血的探讨
Study on Endoscopic Management of Gastrointestinal Anastomosis Postoperative 24 h Anastomotic Hemorrhage
吴洋鹏 1邓芳芳 1刘鹏 1张文兴1
作者信息
- 1. 湖南中医药大学第一附属医院 湖南 长沙 410007
- 折叠
摘要
Abstract
To evaluate the efficacy of endoscopic sequential treatment for postoperative anastomotic hemorrhage during 24 hours. Method:20 patients experienced an endoscopic combined treatment of postoperative anastomotic hemorrhage during 24 hours and were treated endoscopically from January 2010 to April 2014.The clinical data was analyzed retrospectively. For patients whose anastomotic tissues were in good condition and hemorrhage was not so much which show up as errhysis,it chose therapy of injection of hardening agent combined with electrocoagulation;for patients of massive haemorrhage and the anastomotic tissues were edema and brittle,it chose therapy of injection of hardening agent combined with endoscopic hemoclipping. After the surgery all patients were given hemostatic treatment and acid treatment as well as gastric canal retained. Result:Anastomotic hemorrhage were stopped immediately in all cases during endoscopic sequential treatment,the instant hemostasis rate was 100%. No patients had experienced rebleeding, the total effective rate was 100%.Conclusion:Endoscopic approach for the management of early postoperative anastomotic hemorrhage is a worthy of clinical reference technology with safe and effective,high success rate and associated with no complications.关键词
胃肠吻合术/吻合口出血/内镜下止血/联合疗法Key words
Gastroenterostomy/Anastomotic hemorrhage/Endoscopic hemostasis/Combination therapy引用本文复制引用
吴洋鹏,邓芳芳,刘鹏,张文兴..内镜下联合治疗胃肠吻合术后24 h内吻合口出血的探讨[J].中国医学创新,2014,(21):66-68,69,4.
