围手术期治疗对术后AGML及其大出血的干预  

Perioperative intervention in the treatment of postoperative AGML and it＇s bleeding

作　　者：常海林 常柳柳[2] 张清容 

机构地区：[1]阆中市老观中心卫生院,四川阆中637400 [2]上海中医药大学附属曙光医院 [3]襄樊市102医院

出　　处：《中外医学研究》2010年第28期8-9,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的为了降低外科大手术后常见并发症之一AGML及AGML大出血的发生率。方法从消除微循环障碍，促使黏膜细胞修复等方面入手，采用加强围手术期的干预性治疗，充分注意在术前术后加强补充血容量、抗胃酸、促进微循环、止血、营养支持等措施。结果成功地控制了这种严重并发症的发生。发现一般治疗组比围手术期干预治疗组发生AGML及其大出血的机率明显高的多（P〈0．01）。结论对外科大手术患者，为了防止其术后发生AGML及其大出血的围手术期系统性治疗是有效的，只是术后的一般性抗酸抗感染治疗存在明显的不足。Objective To reduce the incidence of the most common complication after major surgery Acute Gastric Mucosal Lesion （AGML） and AGML hemorrhea. Methods starting with eliminating mucosal microcirculatory disturbance and promoting mucosal cells repair to strengthen perioperative interventions , taking full attention to perioperative blood volume, acid treatment, mierocireulation, hemostasis and nourishment before and after operations. Results The incidence of AGML and AGML hemorrhea in general therapy group is much higher than controlled group（ P 〈 0.01 ）. Conclusion Perioperative treatment is more efficient than acid treatment and anti - infection treatment after operation in preventing AGML and AGML hemorrhea.

关 键 词：急性胃黏膜病变 大出血 黏膜微循环障碍 围手术期治疗 

分 类 号：R714.461[医药卫生—妇产科学]