摘要
目的探讨急性上消化道大出血的病因和手术方式。方法对我院1993～2003年收治的急性上消化道大出血行急诊手术治疗的88例病人的临床资料进行回顾性分析。结果行门奇静脉完全断流及脾切除术35例;胃大部分切除术40例;胃底冠状静脉缝扎及脾切除+胃大部分切除术2例;胃癌根治术2例;单纯溃疡出血病灶缝扎+选择性迷走神经切断及胃空肠吻合术5例;单纯溃疡出血病灶切除4例。治愈85例。术后并发症是切口裂开10例,膈下感染1例。死亡3例,分别死于肝功能衰竭和多器官功能不全综合征(MODS)。结论正确的术前病情评价,及时手术,以及合理术式,是提高治愈率的有效措施。
Objective To study the causes and operative procedures of acute mossive hemorrhage of upper digestive tract. Methods From 1993 to 2003,88 cases with acuter mossive hemorrhage of upper digestive tract treated by emergency operation were analyzed retrospectively.Restuls 88 cases underwent emergency operation.Among them,35 cases underwent porta-azygous disconnection and splenectomy,40 cases underwent subtotal gastrectomy,2 cases coronary vein ligation of gastric fundus plus splenectomy and subtotal gastrectomy,2 radical gastrectomy for gastric carcinoma,5 simple ulcerous bleeding focus suture and ligation plus selective vagotomy and gastrojejunostomy,4 simple ulcerous focus resection.Postoperative complications were 10 cases of disruption of wound and 1 case of subdiaphragmatic infection.85 cases were cured.3 cases died from hepatic failure and MODS respectively.Conclusion Correct evaluation of patient′s preoperative status,in time operation and reasonable operative procedures are effective measures to improve the cure rate.
出处
《岭南现代临床外科》
2005年第1期59-60,63,共3页
Lingnan Modern Clinics in Surgery
