| 陈富军,昝朝元,原相军,李杉,李成书,李刚,骆川云,贺平.缝扎止血术治疗痔核脱落期大出血37例的回顾性分析[J].实用中西医结合临床,2017,17(11):3-5 |
| 缝扎止血术治疗痔核脱落期大出血37例的回顾性分析 |
| A Retrospective Analysis on 37 Cases of Postoperative Hemorrhage After Haemorrhoidectomy Treated by Seaming Hemostasis |
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| DOI： |
| 中文关键词: 痔核脱落期大出血 手术并发症 缝扎止血术 |
| 英文关键词: Postoperative hemorrhage after haemorrhoidectomy Operating complication Seaming Hemostasis |
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| 中文摘要: |
| 目的：总结痔核脱落期大出血的时间、原因及治疗方法。方法：回顾性分析37例痔核脱落期大出血患者的临床资料。结果：痔核脱落期大出血时间发生于手术后6~20 d，平均（10.0±3.8） d。37例均为搏动性出血，经缝扎止血后均有效止血。出血前红细胞为（4.63±0.63）×1012/L，血红蛋白为（133.84±18.29） g/L，白细胞为（5.65±1.60）×109/L，中性粒细胞为（3.71±1.50）×109/L；出血后红细胞为（3.72±0.58）×1012/L，血红蛋白为（114.46±17.43） g/L，白细胞为（6.40±2.14）×109/L，中性粒细胞为（4.54±2.00）×109/L，差异均具有统计学意义（P＜0.05）。结论：痔核脱落期大出血主要发生在手术后6~15 d，局部感染是痔核脱落期出血的主要原因，缝扎止血是治疗痔核脱落期大出血的有效方法。 |
| 英文摘要: |
| Objective: To investigate the time, the risk factors and the treatment of postoperative hemorrhage after haemorrhoidectomy. Method: 37 Cases of postoperative hemorrhage after haemorrhoidectomy related clinical data were retrospectively analyzed. Results: The time of postoperative hemorrhage was 6 to 20 days, the average time was (10.0±3.8) days. 37 Cases of active bleeding were successfully treated by transfixion during operation. Before the postoperative hemorrhage, the number of red blood cells was (4.63±0.63)×1012/L, white blood cells was (5.65±1.60)×109/L, neutrophils was (3.71±1.50)×109/L, the Hemoglobin was (133.84±18.29) g/L, while after was（3.72±0.58）×1012/L, (6.40±2.14)×109/L, (4.54±2.00)×109/L, (114.46±17.43) g/L, the difference was significant (P＜0.05). Conclusion: The time of postoperative hemorrhage after haemorrhoidectomy is 6 to 15 days. Local infection is the main cause, transfixion during operation is an effective method for postoperative hemorrhage after haemorrhoidectomy. |
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