中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2013年
9期
99-100
,共2页
胃肠手术%切割闭合%缝合
胃腸手術%切割閉閤%縫閤
위장수술%절할폐합%봉합
Gastrointestinal surgery%Incision and occlusion%Suture
目的：探讨胃肠器械切割、闭合吻合后出血原因及预防措施，为临床治疗中减少出血提供借鉴。方法：对临清市人民医院2008年至2012年行胃肠手术采用切割、闭合吻合后发生出血的18例患者进行回顾性分析。结果：18例患者中12例为术中发现闭合吻合出血；6例为术后发现闭合吻合出血。常见原因有：缝合吻合器械设计不合理、医生操作不当肠管张力大、肠壁过厚或者过薄。结论：患者胃肠器械切割、闭合吻合后出血时应及时探查，将胃肠纵行切开，吸净血块及积血，并采取“8”字缝合止血，可以减少患者出血。
目的：探討胃腸器械切割、閉閤吻閤後齣血原因及預防措施，為臨床治療中減少齣血提供藉鑒。方法：對臨清市人民醫院2008年至2012年行胃腸手術採用切割、閉閤吻閤後髮生齣血的18例患者進行迴顧性分析。結果：18例患者中12例為術中髮現閉閤吻閤齣血；6例為術後髮現閉閤吻閤齣血。常見原因有：縫閤吻閤器械設計不閤理、醫生操作不噹腸管張力大、腸壁過厚或者過薄。結論：患者胃腸器械切割、閉閤吻閤後齣血時應及時探查，將胃腸縱行切開，吸淨血塊及積血，併採取“8”字縫閤止血，可以減少患者齣血。
목적：탐토위장기계절할、폐합문합후출혈원인급예방조시，위림상치료중감소출혈제공차감。방법：대림청시인민의원2008년지2012년행위장수술채용절할、폐합문합후발생출혈적18례환자진행회고성분석。결과：18례환자중12례위술중발현폐합문합출혈；6례위술후발현폐합문합출혈。상견원인유：봉합문합기계설계불합리、의생조작불당장관장력대、장벽과후혹자과박。결론：환자위장기계절할、폐합문합후출혈시응급시탐사，장위장종행절개，흡정혈괴급적혈，병채취“8”자봉합지혈，가이감소환자출혈。
Objective: To explore the reasons, prevention and treatment of hemorrhage after gastrointestinal equipment closed and anastomosis cutting operation, and provide reference for clinical operation. Methods: We analyzed 18 patients with hemorrhage after gastrointestinal equipment closed and anastomosis cutting operation from 2008 to 2012, and discussed the reasons, prevention and treatment of the phenomenon. Results: Among the 18 patients, 12 patients were found bleeding among the operation while 6 patients were found after the operation. Unreasonable designed equipment, improper operation of the doctor and intestinal wall too thick or too thin can be explain the phenomenon of the hemorrhage. Conclusion: Patients must be inspected if the hemorrhage occurred. In order to reduce the bleeding, doctors must absorb the blood and clot by incising the gastrointestinal longitude and take“8”type hemostasis.
