CAJ | 학술논문

目的探讨胆囊切除术后并发应激性溃疡出血的影响因素和防治措施。方法对2005～2012年，我院收治的45例胆囊切除术后并发应激性溃疡出血患者的临床治疗进行回顾性分析。结果本组45例，治愈39例（86.67%），死亡6例（13.33%）。死亡原因：多器官功能衰竭3例（6.00%），失血性休克3例（6.00%）。结论胆囊切除术后并发应激性溃疡出血病情危重，应尽早明确诊断，但多数患者体质虚弱难以支持二次手术，需及时采取有效的保守治疗，对于保守治疗无效、大出血休克或胃肠穿孔患者要及时手术治疗。
목적탐토담낭절제술후병발응격성궤양출혈적영향인소화방치조시。방법대2005～2012년，아원수치적45례담낭절제술후병발응격성궤양출혈환자적림상치료진행회고성분석。결과본조45례，치유39례（86.67%），사망6례（13.33%）。사망원인：다기관공능쇠갈3례（6.00%），실혈성휴극3례（6.00%）。결론담낭절제술후병발응격성궤양출혈병정위중，응진조명학진단，단다수환자체질허약난이지지이차수술，수급시채취유효적보수치료，대우보수치료무효、대출혈휴극혹위장천공환자요급시수술치료。
Objective Discuss cholecystectomy complicated with stress ulcer bleeding after the influence factors and the prevention and control measures. Methods From 2005 to 2012, 15 cases of our hospital after cholecystectomy complicated with stress ulcer bleeding in patients with clinical treatment were retrospectively analyzed. Results This group of 15 patients were cured, 13 cases (86.67%), 2 cases died (13.33%). The cause of death: 1 case of multiple organ failure (6.00%), uncontrol ed hemorrhagic shock in 1 case (6.00%). Conclusion After cholecystectomy complicated with stress ulcer bleeding in a critical condition, should be early diagnosis, but most frail dif icult to support the second surgery, the patient needs to take timely and ef ective conservative treatment, for the conservative treatment is invalid or gastrointestinal perforation, bleeding shock patients with timely surgical treatment.