痔术后继发性大出血病例回顾分析及防治体会  

Retrospective analysis and preventing experience for treating secondary massive hemorrhage after hemorrhoid surgery

作　　者：吴锋[1] 肖秋平[1] 郭晓晖[1] 

机构地区：[1]福建中医药大学附属厦门市中医院,福建厦门361009

出　　处：《中医临床研究》2017年第27期143-145,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:初步探讨痔术后大出血的原因及其相关危险因素。方法:回顾性分析4938例我院痔术后患者,比较性别、年龄、术前患者合并病、术前痔核形态、麻醉方式、手术器械、术后排便、排尿情况等因素与继发性大出血的关系,总结治疗的疗效,分析大出血的原因。结果:44例发生痔术后继发性大出血,发生率为0.89%,平均出血时间为6.9d(2~20d),经过1次止血处理治愈42例(95.45%),2次止血处理治愈2例(4.55%)。单因素分析显示痔术后继发性出血与性别、年龄及是否为嵌顿痔相关。结论:痔术后继发性大出血应积极预防,一旦出现应进行及时有效地止血处理。Objective： To investigate the causes and related risk factors of postoperative massive hemorrhage after hemorrhoid surgery. Methods： 4,938 patients with hemorrhoid surgery in our hospital were retrospective analyzed. The relationship among factors such as gender, age, preoperative patient combination, preoperative hemorrhoid, anesthesia, surgical instrument, postoperative defecation, urination and other factors associated with post-hemorrhoidectomy secondary hemorrhage was compared to summarize the curative effect of treatment and analyze the causes of hemorrhage. Results： Among 4,938 patients, 44 cases （0.89%） developed post-hemorrhoidectomy secondary hemorrhage. The mean interval from operation to the onset of secondary hemorrhage was 6.9d （ranged from 2 to 20d）. After one hernostasis treatment, 42 cases （95.45%） were cured, and 2 cases （4.55%） were cured after two hemostasis treatment. Single factor analysis showed that the post-hemorrhoidectomy secondary hemorrhage was related to gender, age and pathogenesis of IIH. Conclusion： Secondary hemorrhage following hemorrhoidectomy should be actively prevented from, and should be timely and effectively given hemostatic treatment.

关 键 词：痔术后 继发性大出血 

分 类 号：R657.18[医药卫生—外科学]