CAJ | 학술논문

目的：对乳腺癌改良根治术后出血原因进行分析,为临床防治术后出血提供借鉴。方法对行乳腺癌改良根治术后出血的6例患者的临床资料进行回顾性分析,寻找出血原因。结果术后首日引流量6例中5例≥100 ml,平均引流量204 ml；1例长期口服抗精神病药物；1例乳腺癌复发转移正口服希罗达维持治疗。1例急诊手术止血,余5例给予加压包扎止血,均治愈。6例无一例出现皮瓣坏死,1例出现局部切口感染。结论为防治乳腺癌改良根治术后出血,术中术后需合理控制血压,术中需及时止血,注意围手术期药物的使用,正确适当的加压包扎。
목적：대유선암개량근치술후출혈원인진행분석,위림상방치술후출혈제공차감。방법대행유선암개량근치술후출혈적6례환자적림상자료진행회고성분석,심조출혈원인。결과술후수일인류량6례중5례≥100 ml,평균인류량204 ml；1례장기구복항정신병약물；1례유선암복발전이정구복희라체유지치료。1례급진수술지혈,여5례급여가압포찰지혈,균치유。6례무일례출현피판배사,1례출현국부절구감염。결론위방치유선암개량근치술후출혈,술중술후수합리공제혈압,술중수급시지혈,주의위수술기약물적사용,정학괄당적가압포찰。
Objective To analyze hemorrhage causes after modified radical operation for breast cancer, and to provide reference for clinical prevention and treatment of postoperative hemorrhage.Methods A retrospective analysis was made on the clinical data of 6 patients with postoperative hemorrhage after modified radical operation for breast cancer, in order to find their hemorrhage causes.Results There were 5 cases among the 6 cases had drainage volume ≥100 ml at the first postoperative day, with an average drainage volume as 204 ml. There were 1 case with long-term oral administration of antipsychotics and 1 case with oral administration of capecitabine for maintenance treatment of relapsed breast cancer. 1 case received emergency surgical hemostasis, and the other 5 cases were given compression bandage hemostasis. All cases were cured without any case with skin flap necrosis, while there was 1 case with local incision infection.Conclusion Prevention and treatment of hemorrhage after modified radical operation for breast cancer requires intraoperative and postoperative blood pressure control and intraoperative timely hemostasis. Drug use in perioperative period and appropriate compression bandage are also necessary.