摘要
目的 总结上消化道大出血的临床诊治经验。方法 对 112例上消化道大出血病人进行非手术止血及手术治疗,其中急诊手术79例,择期手术29例。结果 住院期间死亡14例,其中急诊手术9例,择期手术4例,1例未行手术(年龄78岁,有心梗病史)。病死率 12.5％。结论 术前尽可能作出病因诊断,均先予非手术止血,无效时应果断采用手术治疗。
Objective To summarize the clinical experience of diagnosis and treatment of massive bleeding from the upper alimentary tract. Methods 112 patients with massive bleeding of the upper alimentary tract were treated with non-operative or operative methods to stop bleeding. 79 cases of them were operated in emergency after bleeding and 29 cases vvere operated after the bleeding was stopped by non-operative method. Results There were 14 cases of death in hospital, which 9 cases were operated in emergency and 4 cases were operated in selective term and l case was non-operative because of the patient was 78 years old and had a past history of myocardial infarc-tion. The mortality rate was 12. 5%. Conclusion Diagnosis of bleeding cause should be done as possible before operation. The non-operative method should be employed at first. If bleeding cann t be controlled, the operative he-mostasis should be considered at once.
出处
《岭南现代临床外科》
2002年第3期161-163,共3页
Lingnan Modern Clinics in Surgery
关键词
上消化道大出血
病因
非手术
手术
Massive bleeding of upper alimentary tract
Cause
Non-operation
Operation
