痔急性大出血致休克的诊治

The diagnosis and treatment of shock caused by acute hemorrhoidal massive bleeding

目的探讨以急性下消化道大出血为表现的痔急性大出血致休克的诊治措施。方法对2009年8月~2011年5月经急诊结肠镜确诊为痔急性大出血致休克16例患者进行回顾性分析。结果 16例患者出血点分别位于肛门齿状线上方,其中3点位2例、6点位4例、9点位7例、11点位3例,均经手术缝扎止血成功。结论对痔急性下消化道大出血致休克患者,急诊结肠镜有助于明确诊断,缝扎是最有效的直接止血方法。

【Objective】 To investigate the diagnosis and treatment of shock caused by acute lower gastrointestinal bleeding as a manifestation of acute hemorrhoidal massive bleeding.【Methods】 16 patients shocked by acute hemorrhoidal massive bleeding diagnosed by emergency colonoscopy from 2009 August to 2011 May were retrospectively analyzed.【Results】 In 16 patients,the bleeding points were located above the anus dentate line,in which,3 clock points were 2 cases,six clock points were 4 cases,nine clock points were 7 cases,and eleven clock points were 3 cases,all successfully hemostasised by operation suture.【Conclusion】 Emergency colonoscopy are useful to diagnosis shocked patients caused by acute lower gastrointestinal massive bleeding,while operation suture is the most effective hemostatic method.