器械缝合消化道术后早期出血的防治  

THE PREVENTION AND TREATMENT OF BLEEDING GASTROINTESTINAL TRACT AFTER ANASTOMOSED BY INSTRUMENT

作　　者：朱维星 梅文杰 曾兴业 夏鹏 方永昌 

机构地区：[1]浙江省温州市解放军118医院

出　　处：《河北医学》1999年第2期7-9,共3页Hebei Medicine

摘　　要：目的：减少器械吻合和缝合消化道术后并发出血的发生率；方法：从１９８５年７月至１９９８年１月我们完成胃大部切除后器械吻合和缝合胃肠道手术１０３２例（２１６８次），对发生早期缝合口出血６例约占（０．６％）进行回顾性分析；结果：局部组织水肿２例，器械故障２例，术者操作不当２例。器械吻合和缝合胃肠道术后并发出血直接与术者操作、器械情况、适应症选择有关，术后出血均经再手术治疗获愈；结论：器械吻合和缝合消化道只要正确操作、正确选择适应症仍具有许多优越性。Objective:To reduce the rate of bleeding in suture line of gastrointestinal tract after anastomosed by instrument.Methods:From July 1985 to Janury 1998,1032 patients(2168 times)performed subtotal gastrectomy gastrointestinal tract anastomosed by instrument 6cases(0.6%) with bleeding in suture line of gestrointestinal tract after sutured by instrument were analysised.6 cases with postoperative bleeding cured by reoperation .Results:2 cases local tissue severe adema and 2 cases instrument malfunction,operating mistake in 2 cases were found. Gastrointestinal tract bleeding after anastomosed by instrument was related to choicing on opterating patients and condition of instrument.Conclusion: Gastrointestinal tract bleeding after anastomosed by instrument may be prevented in the case of correct operating and good instrument and correct choice patients.

关 键 词：器械缝合 消化道手术 缝合口 出血 防治 

分 类 号：R619.101[医药卫生—外科学] R656.05[医药卫生—临床医学]