腹腔自发出血诊治分析(附10例报告)  

Diagnosis and treatment of spontaneous intra-abdominal hemorrhage:a report of 10 cases

作　　者：崔航天 李伟[2] 徐俊[1] 卢正茂[1] 罗天航[1] 薛绪潮 方国恩[1] 

机构地区：[1]第二军医大学附属长海医院胃肠外科,上海200433 [2]北京大学国际医院胃肠外科,北京102206

出　　处：《外科理论与实践》2016年第6期532-534,共3页Journal of Surgery Concepts & Practice

基　　金：国家自然科学基金(81372048)

摘　　要：目的:探讨腹腔自发性出血的诊断与治疗。方法 :回顾性分析2001年12月至2016年2月第二军医大学附属长海医院治疗10例腹腔自发性出血病人的临床资料。结果:腹腔自发性出血根据临床病情严重程度分为腹腔卒中综合征(4例)、单纯腹腔出血(4例)和腹腔陈旧性血肿(2例)。4例行血肿联合周围脏器切除,4例行非手术治疗,1例因未发现出血点行单纯引流,另1例行血肿清除及结扎出血点。9例顺利出院,1例术后突发腹腔出血,抢救无效死亡。结论:剖腹探查术是腹腔自发出血的有效治疗手段。Objective： To evaluate the diagnosis and treatment of spontaneous intra-abdominal hemorrhage.Methods A retrospective analysis was done with the clinical data of 10 cases with spontaneous intra-abdominal hemorrhage admitted from December 2001 to February 2016 at Changhai Hospital of Second Military Medical University.Results Abdominal apoplexy was present in 4 cases with spontaneous intra-abdominal hemorrhage, intra-abdominal hemorrhage in 4 cases and chronlc abdominal hematoma in 2 cases based on the extent of clinical severity. Hematoma was removed combined with resection of organ in 4 cases. Non-operative treatment was given to 4 cases. Only abdominal drainage was performed when no active bleeding was found in 1 case. Both removal of hematoma and ligation of bleeding were done in 1 case. Nine cases were cured and 1 case died of postoperative massive intraperitoneal bleeding.Conclusions Exploratory laparotomy is a valuable therapeutic approach for the patients with spontaneous intra-abdominal hemorrhage.

关 键 词：腹腔自发性出血 腹腔卒中 诊治 

分 类 号：R57[医药卫生—消化系统]