摘要
目的分析腹腔镜辅助下胃癌根治术后出血的原因,总结预防及处理措施。方法回顾性分析2014年1月至2016年1月我院腹腔镜辅助下胃癌根治术610例。结果 610例患者中并发术后出血19例,其中15例为术后血流动力学稳定的出血,4例为术后血流动力学不稳定的大出血。经保守治疗、手术、介入血管栓塞等综合治疗后,19例均治愈出院,未出现死亡病例。结论腹腔镜辅助下胃癌根治术后出血原因复杂多样,血流动力学稳定可先保守治疗,一旦出现血流动力学不稳定,必须给予紧急手术或血管栓塞等综合处理,以拯救生命。
Objective To analyze the factors of bleeding after laparoscopic-assisted radical gastrectomy and to summarize the experience in the prevention and treatment. Methods Clinical data of 610 patients underwent laparoscopic-assisted radical gastrectomy in Department of Gastrointestinal Surgery of Fujian Provincial Hospital from Jan 2014 to Jan 2016 were collected and studied. Results There were 19 patients who underwent postoperative bleeding in these 610 cases. Among 19 patients, 15 had stable haemodynamics during the bleeding, but 4 had unstable haemodynamics. By the conservative treatment, surgery, interventional vascular embolization and other comprehensive treatments, all of 19 cases were cured without death. Conclusion The factors of bleeding after laparoscopic-assisted radical gastrectomy were complicated and various. The cases with stable hae- modynamics- were preferentially treated by conservative treatment, but once the haemodynamics turned into unstable, they must be urgently treated with the surgery or interventional vascular embolization or other comprehensive treatments for saving lives.
出处
《福建医药杂志》
CAS
2016年第3期18-20,共3页
Fujian Medical Journal
关键词
腹腔镜辅助
胃癌
术后出血
血管介入栓塞
laparoscopic-assisted
gastric cancer
bleeding postoperative
interventional vascular embolization
