结扎髂内静脉或股静脉在盆腔手术大出血的抢救作用  

Rescue Effect of the Ligation of Internal Iliac Vein or Femoral Vein on Massive Bleeding during Pelvic Surgery

作　　者：李凌[1] 李瑞华 LI Ling;LI Rui-hua(Department of Thoracic Surgery, Tumor Hospital of Guangzhou Medical University, Guangzhou 510095, Guangdong, China;Department of Surgery, Heyuan Friendship Hospital, Heyuan 517000, Guangdong , China)

机构地区：[1]广州医科大学肿瘤医院胸外科,广州510095 [2]广东省河源友好医院外科,河源517000

出　　处：《中国现代手术学杂志》2018年第1期29-32,共4页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨结扎髂内静脉及股静脉在盆腔手术大出血时的抢救作用。方法回顾性分析总结二例盆腔手术时大出血患者的临床资料,其中1例为直肠癌手术时骶前静脉损伤大出血而结扎髂内静脉;另一例为取骨盆钢板时髂外静脉损伤大出血而结扎股静脉。结果 2例患者术中均获得完全止血及安全出院。结论盆腔手术如骶前静脉或髂外静脉损伤大出血时,即刻行有效结扎可以有效止血,挽救生命。Objective To discuss the rescue effect of the ligation of internal iliac vein and femoral vein on massive hemorrhage during the pelvic operation. Methods A retrospective analysis of treatment skills and effect was performed for two patients with massive hemorrhage during the pelvic operation. One case was treated with ligation of internal iliac vein for hemorrhea associated with presacral vein injury during the rectal cancer operation,and the other case was treated by ligation of femoral vein for hemorrhea due to external iliac vein injury when the internal fixation of pelvic plate was taken out. Result Bleeding was stopped completely for both two patients during the operations,and discharged from hospital in safety. Conclusion The reliable ligation can achieve hemostasis effectively and save the life for patients with massive hemorrhage associated with presacral vein or external iliac vein injury during the pelvic operation.

关 键 词：结扎术 失血 手术 盆腔手术 骶前静脉损伤 髂外静脉损伤 

分 类 号：R654.3[医药卫生—外科学] R735.37[医药卫生—临床医学]