摘要
目的:探讨急诊手术治疗急性胃出血的临床治疗效果。方法:选取2015年1-10月笔者所在医院急诊收治的68例急性胃出血患者,回顾性分析其临床资料,根据治疗方式将其分为常规组和试验组,各34例。常规组行保守治疗,口服抑制剂、生命体征监测、输血输液等;试验组行急诊手术治疗。结果:试验组行全胃切除与十二指肠球部加胃体窦部切除11例,部分胃切除14例,全胃切除6例,单纯结扎3例,其中1例因出血过多,于3 d后死亡,治疗有效率为91.18%,明显高于常规组的76.47%,差异有统计学意义(P<0.05)。结论:急诊手术治疗急性胃出血的效果确切,且具有费用低、适应证广等特点。
Objective： To investigate the clinical therapeutic effect of emergency operation in the treatment of acute gastric hemorrhage.Method： 68 patients with acute gastric hemorrhage were selected in the author＇s hospital from January to October 2015, According to the type of treatment, they were divided into the conventional group and the experimental group.34 cases in conventional group were treated by conservative treatment, oral inhibitor, monitoring of vital signs, blood transfusion and transfusion treatment.34 cases in the experimental group underwent emergency surgery.Result： 11 cases in the experimental group recieved total gastrectomy and duodenal and gastric antrum resection, 14 patients recieved partial gastrectomy, 6 patients recieved total gastrectomy, 3 patients recieved simple ligation, among them, 1 case died due to excessive bleeding in 3 d.The effective rate of treatment was 91.18%, significantly higher than the conventional group（76.47%）, the difference was statistically significant（P〈0.05）.Conclusion： Emergency operation in the treatment of acute gastric hemorrhage is rapid and accurate, and it has the characteristics of low cost, wide indication and so on.
作者
朱勇
ZHU Yong(FengjieUnionHospitaiofchongqingCity, Chongqing404600, Chin)
出处
《中外医学研究》
2017年第4期106-107,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
手术治疗
急性胃出血
临床效果
Surgical treatment
Acute gastric bleeding
Effect
