胃肠肿瘤术后消化系出血的原因及治疗

Gastrointestinal bleeding in patients with gastrointestinal tumors after surgery: Causes and treatments

目的:探讨胃肠道肿瘤术后发生消化系出血的原因与治疗.方法:选择2009-01/2014-01安徽医科大学第三附属医院胃肠肿瘤术后发生消化系出血的临床资料进行回顾性研究,其中近期出现消化系出血的19例,远期发生消化系出血的2例.结果:18例患者经保守治疗、内镜下止血夹治疗止血、数字减影血管造影(digital subtraction angiography,DSA)止血、二次手术止血,恢复顺利;1例患者放弃治疗,2例患者手术止血失败.结论:胃肠肿瘤患者术后发生出血原因是多方面的,应引起足够重视,要主动采取积极的应对措施和规范的手术术式,预防与治疗胃肠肿瘤术后并发消化系出血.

AIM： To investigate the causes and treatments of postoperative gastrointestinal bleeding in patients with gastrointestinal tumors.METHODS： A retrospective study was performed on 21 patients with gastrointestinal tumors who developed gastrointestinal bleeding after surgery for gastrointestinal tumors between January 2009 and January 2014 at the Third Affiliated Hospital of Anhui Medical University. Among them, 19 patients had early and 2 patients had late gastrointestinal hemorrhage. RESULTS： Eighteen patients recovered after appropriate treatments such as conservative therapy, endoscopic treatment, digital subtraction angiography and reoperation. One patient abandoned treatment and 2 patients died after the reoperation.CONCLUSION： There are many reasons for postoperative hemorrhage in patients with gastrointestinal tumors. Effective treatments and standard surgery technique are key solutions for gastrointestinal bleeding after surgery for gastrointestinal tumors.