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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