结直肠息肉切除术后出血的危险因素及预防措施  

Risk factors and preventive measures of delayed bleeding after colorectal polypectomy

作　　者：潘隆毅 王磊[1] PAN Longyi;WANG Lei(The First Department of Gastroenterology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院消化病一科,新疆乌鲁木齐830054

出　　处：《胃肠病学和肝病学杂志》2024年第5期607-613,共7页Chinese Journal of Gastroenterology and Hepatology

摘　　要：息肉切除术后出血(post-polypectomy bleeding,PPB)是治疗性结肠镜术后常见的并发症。根据术后出血的时间,PPB可以分为立即出血和迟发性出血,前者内镜医师通常可以在术中及时处理,一旦患者发生了严重的迟发性出血,患者往往需要再次住院进行干预,增加了患者的住院费用及心理负担。本文重点介绍患者发生迟发性出血的危险因素,以便早期识别迟发性出血的高危患者。同时做好患者围术期抗血栓药物的管理,术中采取有效的预防措施,提前做好患者出血风险评估等措施,预防迟发性出血的发生。Post-polypectomy bleeding(PPB)is a prevalent complication following therapeutic colonoscopy.According to the timing of postoperative bleeding,PPB can be classified into immediate bleeding and delayed bleeding.The former was usually managed promptly by endoscopists during the procedure.Once patients experienced severe delayed bleeding,they often required readmission for intervention,thereby increasing hospitalization costs and psychological burden on the patients.This article focused on identifying risk factors for delayed bleeding in patients to promptly recognize those at high risk.At the same time,the management of antithrombotic drugs during the perioperative period,taking effective preventive measures during the operation,and assessing the risk of bleeding in advance can prevent the occurrence of delayed bleeding.

关 键 词：结肠息肉 迟发性出血 危险因素 

分 类 号：R574[医药卫生—消化系统]