痔术后继发性大出血的早期防治体会

Experience on Early Prevention and Treatment of Secondary Massive Hemorrhage in Hemorrhoids Patients af-ter Surgery

为探讨痔术后继发性大出血的早期防治效果，回顾性分析24例痔术后继发性便血（先兆便血）患者的临床资料。结果显示，20例经治疗3d后彻底止血，拔除肛内引流管而治愈；4例经治疗2d后，引流管内出血量明显增多，演变为继发性大出血，即予手术缝扎止血而治愈。结果表明，临床上应高度重视痔术后继发性大出血的早期防治，并认为痔术后先兆便血期的治疗是有效预防和逆转痔术后继发性大出血的关键。

In order to explore the clinical efficacy of early prevention and treatment for secondary massive hemorrhage in hemorrhoids patients after surgery, a retrospective analysis was carried out on the clinical data of 24 cases of aural hemafecia after operation for hemorrhoids. The results showed that bleeding was completely controlled after three days treatment in 20 cases,who got cured after the removal of anal drain- age tube; two days after treatment, 4 cases developed more bleeding volume in drainage tube, which pro- gressed into secondary massive bleeding that was controlled after emergency suture surgery. It is concluded that great importance should be attached to early prevention and control of secondary massive bleeding af-ter surgery for hemorrhoids after surgery,and treatment of postoperative aural hemafecia is considered as the key point.