口腔癌根治术后并发消化道应激性溃疡出血13例分析  

The Analysis of 13 Cases on Stress Ulcer with Bleeding After Radical Surgery of Oral Cancer

作　　者：李劲松[1] 黄启辉[2] 于钟[3] 王彤[4] 

机构地区：[1]中山大学附属第二医院口腔科,510120 [2]中山大学附属第二医院中医科,510120 [3]中山大学附属第二医院消化内科,510120 [4]中山大学附属第二医院急诊科,510120

出　　处：《岭南急诊医学杂志》2004年第1期42-43,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨口腔癌根治术后并发消化道应激性溃疡出血的预防和治疗经验。方法:回顾性分析13例口腔癌根治术后并发消化道应激性溃疡出血病人的临床资料。结果:患者临床表现为腹痛、排柏油样大便、呕血、低血容量休克、贫血等。11例出血得到较快控制,1例反复出血,延迟6 d才得以缓解。1例死于失血性休克。结论:口腔癌根治术后并发消化道应激性溃疡出血是一种严重的并发症,它与患者年龄大、精神紧张、手术创伤及使用激素等有关,要注重对本病的预防,在治疗上应尽早采取积极措施,注意治疗方法的选择。Objective: To discuss the experience of prevention and treatment in stress ulcer with bleeding after radical surgery of oral cancer. Methods: The clinical informations of 13 cases with stress ulcer after radical operation of oral cancer were reviewed retrospectively. Results: There were stomachache, tarrystool, hematemesis, hypovolemic shock and hemorrhagic anemia. 11 cases of bleeding were effectively controlled, but 1 case bleeded repeatedly, controlled after 4 days.l case died of hypovolemic shock. Conclusions:Stress ulcer with bleeding is a severe complication in postoperation of oral cancer. It relates to patient's age, spirit, trauma and Dexamisone. It is important to put prevention first and treat as soon as possible.

关 键 词：口腔癌 根治术 术后并发症 消化道应激性溃疡 消化道出血 预防 治疗 

分 类 号：R739.8[医药卫生—肿瘤]