上消化道出血外科治疗67例回顾  

Surgical treatment of peptic ulcer bleeding： A report of 67 cases

作　　者：朱阿考[1] 夏加增[1] 裴雷[1] 姚路斌[1] 周宏[1] 洪波[1] 郑亮[1] 顾琛[1] 

机构地区：[1]南京医科大学附属无锡第二医院普外科,江苏无锡214002

出　　处：《腹部外科》2011年第1期20-21,共2页Journal of Abdominal Surgery

摘　　要：目的探讨上消化道出血的外科治疗策略。方法回顾性分析2007年7月至2010年6月67例上消化道出血病例的病因、治疗及效果。结果本组病例中良性溃疡50例（74．6％），恶性溃疡17例（25．4％）；平均住院（16．4±12．5）d，平均输血量（558．9±263．2）ml。无术后再次出血病例，有2例出现吻合口瘘，5例（7．5％）在住院期间死亡。结论对于上消化道出血病例，有效的围手术期处理、合理选用手术方式，依然能取得良好治疗效果。Objective To explore the surgical treatment of peptic ulcer bleeding. Methods The surgical methods and efficacy of 67 cases of peptic ulcer bleeding were retrospectively from July 2007 to June 2010. Results There were 50 cases （74. 6 %） of benign ulcer disease, and 17 cases（25.4 %） of malignant ulcer. The average hospital stay was（ 16. 4 ± 12. 5）days, and the average blood transfusion volume was （558. 9 ± 263. 2） ml. No postoperative bleeding was observed, anastomotic leakage occurred in 2 cases and 5 cases（7.5 %）died during hospitalization. Conclusion For patients with peptic ulcer bleeding, an effective perioperative management and reasonable choice of surgical methods can achieve satisfactory outcomes.

关 键 词：消化性溃疡 出血 外科手术 

分 类 号：R573.2[医药卫生—消化系统]