急性脊髓损伤后应激性溃疡大出血的手术治疗

Surgical treatment of massive gastrointestinal hemorrhage for stress ulcer in acute spinal cord injury

目的 探讨手术治疗在急性脊髓损伤后应激性溃疡 (SU)大出血中的价值。方法 对 8例急性脊髓损伤并SU大出血行剖腹探查术的患者进行回顾性分析 ,其中 4例行胃大部切除术 ,2例行单纯选择性迷走神经切断术加溃疡出血单纯缝扎术 ,1例幽门成形术加溃疡出血单纯缝扎术 ,1例局部结肠切除术。结果 7例治愈 ,1例死于术后多器官功能衰竭。结论 急性脊髓损伤并SU大出血应早期行手术治疗 ,可提高本病的治愈率 ,挽救生命。

Objective To discuss the value of surgical treatment of massive gastrointestinal hemorrhage for stress ulcer in acute spinal cord injury.Methods We analysed in retrospect 8 cases of massive gastrointestinal hemorrhage for stress ulcer in acute spinal cord injury by celiotomy.Results 4 cases got partial gastrectomy, 2 cases got vagotomy and ligation of bleeding points,1 case got pyloroplasty and ligation of bleeding points, 1 case got colostomy.One of these cases died of MODS.Conclusion For massive gastrointestinal hemorrhage for stress ulcer in acute spinal cord injury,early surgical treatment can cure of this kind of disease and rescue lives.