CAJ | 학술논문

目的：研究直肠癌根治术后近期下消化道急性大出血的治疗策略。方法选择直肠癌术后下消化道急性大出血患者作为研究对象，随机分为给予保守治疗的观察组和手术治疗的对照组，观察止血效果、出血量、住院时间、生活质量相关指标。结果观察组术后出血量、排气时间、住院时间均明显低于对照组(P<0.05)；观察组总有效率KPS评分、MUNSH评分、ESCA评分、总体生活质量明显高于对照组(P<0.05)。结论对于直肠癌根治术后下消化道急性出血患者，应首先考虑保守治疗，在保守治疗24 h无效的情况下，再行手术治疗。
목적：연구직장암근치술후근기하소화도급성대출혈적치료책략。방법선택직장암술후하소화도급성대출혈환자작위연구대상，수궤분위급여보수치료적관찰조화수술치료적대조조，관찰지혈효과、출혈량、주원시간、생활질량상관지표。결과관찰조술후출혈량、배기시간、주원시간균명현저우대조조(P<0.05)；관찰조총유효솔KPS평분、MUNSH평분、ESCA평분、총체생활질량명현고우대조조(P<0.05)。결론대우직장암근치술후하소화도급성출혈환자，응수선고필보수치료，재보수치료24 h무효적정황하，재행수술치료。
Objective To study the treatment strategy of postoperative acute massive bleeding from the lower diges-tive tract in rectal cancer. Methods After radical resection of rectal cancer, 55 cases of patients were randomly divided into the observation group given conservative treatment and control group given operation treatment. Therapeutic effect, postoperative hemorrhage related indexes and life quality index were observed. Results The postoperative amount of bleeding, blood transfusions, exhaust time and recovery time in observation group were significantly lower than those in the control group (P<0. 05). The total effective rate, KPS score, ESCA score, MUNSH score, overall life quality in observation group were obviously higher than that in the control group ( P<0 . 05 ) . Conclusion For acute hemorrhage patients after radical resection of rectal cancer, should first take into account the conservative treatment, in 24 hours in-valid conservative treatment cases, then treated with operation.