摘要
目的探讨术后急性胃粘膜病变、消化道出血的早期表现和防治。方法回顾性总结分析腹部手术后急性胃粘膜病变37例的早期表现和防治效果。结果术后早期均有上腹隐痛、腹胀或恶心呕吐。83%(31/37)发生上消化道大出血前1～3天胃液咖啡渣样或黑便。术后早期用甲氰咪胍等 H_2 受体阻断剂防治有效。结论非胃肠道本身的手术术后出现咖啡渣样胃液、黑便多为急性胃粘膜病变的早期表现,应及时采取相应的防治措施。本组治愈81.1%,关键在于早期防治。
Objective Discussing the early clinical signs and prevention,treatment of acute gastric mu- cosal lesions and hemorrhage of digestive tract.Method 37 cases of acute gastric mucosal lesions were retro- spectively analysed.Results All the patients complained epigastrium dull pain and abdominal distention or nausea or vomiting in the early stage of postoperaation.1-3 days before upper digestive tract massive hem- orrhage occurred,gastric juice that looked like coffee or melena were revealed in 83% (31/37)cases.To effectively prevent and treat this complication,it is very importment to administed H2-receptor blocks,such as cimetidine in the early stage of postoperation.Conclusion It should be considered as an early clinical signs that the coffee like gastric juice or melena appeared in the patients who were performed non gastric-in- terestinal surgery during the early stage of postoperation,and treat it as soon as possible.The cure rate in this group is 81.1%,the key point is to prevent and treat the disease in the early stage.
