摘要
目的:腹腔感染合并腹腔大出血病情危重,需要及时有效的止血和引流。应用腹腔填塞方法,观察其临床效果。方法:回顾分析2003年2月至2007年4月20例腹腔感染合并腹腔大出血患者,其中男16例,女4例,年龄23~72岁,平均年龄(43.5±15.0)岁,其中胰周和腹膜后出血14例,肠瘘口及周围脓腔出血6例。结果:20例患者均应用腹腔负压填塞,填塞后存活16例(80%),且无一例患者有感染加重的现象,纱布取除时亦无再出血的现象,另有4例患者死亡。14例患者在腹腔负压填塞后关闭腹腔,另6例行腹腔开放。纱布填塞后有2例患者再次出血,于床边再次填塞后出血停止。纱布取出时间为2~7 d,平均为(4.8±1.1)d。结论:腹腔负压填塞是处理腹腔感染合并大出血的有效治疗方式。
Objective: Abdominal hemorrhea induced by intra-abdominal infection is a critical pathogenetic condition,which requires prompt hemostasis and drainage.The present paper aims to investigate the clinical effect of abdominal gauze packing with sump drainage in the management of this condition.Methods: We retrospectively analyzed 20 cases of abdominal hemorrhea due to intra-abdominal infection who were treated by abdominal gauze packing with sump drainage from February 2003 to April 2007.The patients,16 males and 4 females,averaged(43.5±15.0)(23-72) years in age.Peripancreatic and retroperitoneal hemorrhage occurred in 14 cases,and intestinal fistula and vomica hemorrhage in 6.Results: Of the total number of patients,16(80%) survived without aggravated infection and rebleeding after removal of the gauze,and the other 4 died.The abdomens were closed 14 and opened in 6 patients following abdominal packing.Rebleeding occurred in 2 cases after the packing but was controlled by bedside re-packing.The mean packing period was(4.8±1.1)(2-7) days.Conclusion: Abdominal packing with sump drainage is a safe,simple,and effective procedure for abdominal hemorrhea induced by intra-abdominal infection.
出处
《医学研究生学报》
CAS
2008年第10期1053-1055,共3页
Journal of Medical Postgraduates
基金
全军医学科学技术研究"十一五"计划专项课题(编号:06Z017)
关键词
腹腔大出血
纱布填塞
腹腔感染
重症急性胰腺炎
Abdominal hemorrhea
Abdominal packing
Intra-abdominal infection
Severe acute pancreatitis