胃癌合并急性出血36例诊治分析

Diagnosis and treatment of gastric carcinoma complicated with acute hemarrheage in the upper digestive tract

目的探讨胃癌合并急性上消化道出血的诊断与治疗,为临床处理该类急症提供参考依据。方法回顾性分析胃癌合并急性上消化道出血患者36例临床资料患者,其中男性24例,女性12例;年龄29～78岁经胃镜和病理诊断。病例行保守治疗止血后限期手术和急诊手术治疗。结果腺癌19例,粘液癌12例,未分化癌5例。经保守治疗止血后限期手术25例;急诊手术11例,痊愈34例,死亡2例,死因为多器官功能衰竭。结论胃癌合并急性出血患者确诊后应及时予以手术治疗,治愈率高。

Aim To diagnose and surgical treatment of gastric carcinoma cases complicated with hemorrhage in the upper digestive tract and provide reference for diagnosis and treatment of the cases. Methods There 36 gastric carcinoma eases including 24 males and we females in the age group; of 29-78 years old, all the patients were diagnosed by gastric endoscopy and pathology. The cases were surgically treated. Results There were 19 adenocarcinoma cases, 12 mucous carcinoma cases and 5 undifferentiated carcinoma cases. There 34 cases cured, 2 died of infection. Conclusion Gastric carcinoma cases complicated with acute upper digestive tract hemorrhage be surgically treated after confirmed with satisfactory results.