子宫颈癌大出血的联合止血探讨

Analysis of Combined Therapy for Hemostasis of Carcinoma of Uterine Cervix with Mass Bleeding

目的 :研究子宫颈癌大出血的联合止血的急救方法。方法 :1996年 1月～ 2 0 0 3年 12月 8年期间 ,因阴道大出血来我院的宫颈癌患者 73例。收入本资料的出血量标准 :2 4小时内出血量大于 30 0ml,或一次性急性出血量 2 0 0ml以上者。止血方法 :根据个体差异止血采用静脉用药、局部压迫、放疗止血。结果 :73例中 2 9例二步联合出血停止占 39 73% ,16例三步联合出血停止 2 1 92 %。 16例二步联合出血减少 2 1 92 % ,9例二步联合出血减少 12 33%。结论 :子宫颈癌以阴道大出血作为首发症状而入院的患者 ,必须做快速的急救处理 ,止血成为治疗的第一要务。子宫颈癌止血的三种措施或者同时选用 ,或者交替选用 ,止血效果相互促进。研究肿瘤急救中的联合止血方案有着重要的临床意义。

Objective:To assess the emergency procedure and effect on combined hemostatic measures for carcinoma of uterine cervix with mass bleeding.Methods:Seventy-three cases with a massive colporrihagia were admitted from Jan. 1996 to Dec.2003.Amount of bleeding was over 300ml in 24h and beyond 200ml in a single bleeding.Treatment given included drugs,local compression,radiotherapy according to the individual difference.Results:Among 73 cases,in 29 ceases the bleeding was ceased by two-steps combined hemostasis, accounted for 39.73%;in 16 cases,the bleeding was ceased by three-steps hemostasis,for 21.92%;in 16 cases, the bleeding was diminished by the two-steps, for 21.92%;and in 9 cases,it was diminished by the three-steps,for 12.33%.Conclusion:The three hemostatic measures might be applied at one time to those emergency patients with carcinoma of uterine cervix,or chosen individualiged,or alternatively used. The effect of hemostasis could be clearly strengthened by the interaction. It is very to investigate the efficiency of combined measures of hemostasis for emergency patients.