摘要
目的分析乳腺微创旋切术后迟发性出血的原因并总结预防措施。方法回顾2015年10月~2018年1月杭州市第三人民医院行乳腺微创旋切术手术患者585例,统计术后迟发性血肿的发生情况并分析其原因,从而提出相应的预防措施。结果 585例患者中,术后24~72 h期间出现血肿11例,在手术72 h后出现血肿21例,切除肿块的数量、术中出血情况、术后压力绷带移位等因素与迟发性出血相关。结论切除多个肿块、术中有搏动性出血以及术后有压力绷带移位的患者发生延迟出血的概率较高,并在此基础上提出了相应的预防措施。
Objective To analyze the causes and prevention of delayed bleeding after minimally invasive rotary cutting in mammary gland. Methods A total of 585 patients with minimally invasive rotary cutting in mammary gland surgery completed in our hospital from October 2015 to January 2018 were reviewed and the incidence of delayed hematoma and the causes were analyzed to propose corresponding preventive measures. Results Of the 585 patients, 11 cases had hematoma between 24 hours and 72 hours after surgery, and 21 cases had hematoma after 72 hours of surgery. The number of tumors removed, intraoperative bleeding, and postoperative pressure bandage shift were associated with delayed bleeding. Conclusion Patients with multiple masses, intraoperative pulsatile hemorrhage, and postoperative pressure bandage displacement have a higher probability of delayed bleeding, and propose corresponding preventive measures on this basis.
作者
吕昊
楼龙泉
李宁宁
LV Hao;LOU Longquan;LI Ningning(Department of General Surgery,Hangzhou Third Hospital,Hangzhou 310000,China;Operating Room,Hangzhou Third Hospital,Hangzhou 310000,China)
出处
《中国现代医生》
2019年第26期51-54,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2019RC248)
关键词
乳腺良性肿瘤
微创旋切
迟发性出血
预防措施
Benign breast tumor
Minimally invasive rotary cutting
Delayed bleeding
Preventive measures
