腹腔镜胃袖状切除术后早期出血诊断和治疗  

Diagnosis and treatment of early phase hemorrhage after laparoscopic sleeve gastrectomy

作　　者：蒋子剑 杨雁灵 丁睿 岳树强 陶开山 JIANG Zi-jian;YANG Yan-ling;DING Rui(Department of Hepatic Surgery,the First Affiliated Hospital of Air Force Military Medical University,Xi’an 710000,China)

机构地区：[1]空军军医大学西京医院肝胆胰脾外科,陕西西安710000

出　　处：《中国实用外科杂志》2020年第4期405-407,共3页Chinese Journal of Practical Surgery

基　　金：陕西省科技厅重点研发计划(No.2018ZDXM-SF-082)。

摘　　要：腹腔镜胃袖状切除术(LSG)是目前主流的减重手术方式。术后早期出血是LSG的重要手术并发症,明确出血原因将有助于减重外科医师选择合适的预防措施和诊疗方案。LSG术后出血的诊断依赖于严密监测病人生命体征、临床表现以及影像学检查。早期出血且程度较轻的病人可保守治疗或血管介入治疗,若出血严重、血流动力学紊乱则须果断手术干预。Laparoscopic sleeve gastrectomy(LSG)is the mainstream procedure in bariatric surgery currently.Postoperative bleeding is a significant complication of laparoscopic sleeve gastrectomy.Clarifying the cause of hemorrhage after LSG can help clinicians choose accurate prevention measures and therapy methods.The diagnosis of hemorrhage of postoperative LSG relies on monitoring vital signs,clinical manifestations and radiological assessments in patients.Early and mild hemorrhage can be treated conservatively or interventional treatment.Serious hemorrhage with hemodynamic instability should be performed operation as soon as possible.

关 键 词：腹腔镜胃袖状切除术 术后出血 诊断 治疗 

分 类 号：R6[医药卫生—外科学]