十二指肠前壁剖开直视治疗大出血4例

Therapy experience on splitting duodenal anterior for direct haemostasia when salvaging fatal hemorrhage in 4 cases

目的探讨十二指肠大出血手术探查时机、方法和术后的治疗关键。方法回顾性分析本院收治的4例不同原因导致的十二指肠急性大出血患者的临床资料,总结十二指肠剖开探查手术方式、消化道减压、引流和术后消化液回收、肠内外营养支持综合疗效。结果经外科积极治疗4例患者均能获得临床痊愈,成功挽救患者的生命。结论当机立断的外科手术探查、十二指肠的充分减压、腹腔引流和术后综合支持治疗是挽救患者生命的关键措施。

Objective By investigating and summarizing clinical experience, we discuss what the time, what the methods to be held for duodenal fatal hemorrhage, and what are the key points to treatments. Methods Retrospectively analyze the clinical data in 4 cases that underwent acute and fatal duodenal hemorrhage. Summarize their curative effects of surgical exploration on duodenum, gastrointestinal decompression, peritoneal cavity drainage, digestive juice re-infusing, parenteral nutrition and enteral nutrition as the keys. Results The 4 cases were recovered successfully after positive surgical treatment. Conclusion The decisive surgical exploration, sufficient duodenal decompression, peritoneal drainage and the comprehensive supportive treatments after the operation are the key measures to recovery.