重度混合痔术后大出血的原因分析及处理

The Analysis of the Causes of Severe Mixed Hemorrhoid Postoperative Bleeding and Processing

目的探究重度混合痔临床术后大出血的原因和处理方法。方法 2010年7月—2013年9月在该院治疗的136例进行手术治疗的重度混合痔患者,其中有23例患者出现术后大出血症状,观察分析其临床病因以及治疗措施。结果患者术后出血分类显示手术过程中操作不当导致出现的原发性出血19例,由于术后感染及护理不当等导致继发性出血患者4例,混合痔术后大出血的原因分析显示多是由于手术过程中的操作不当造成,经过相应的术后处理,所有患者的大出血病症都得到有效控制,所有患者病情都好转并康复出院,患者在术后一年内无复发患者。结论在重度混合痔患者的临床手术治疗中,针对患者的病情选择适当的术式能够改善患者的临床状况,在术前做好相应准备,手术过程中严格按照操作进行规范手术,避免术后大出血状况能够控制患者的出血状况,并且在术后对患者进行严密监察,能够有效降低术后大出血的状况。

Objective to explore the cause of severe clinical postoperative bleeding mixed hemorrhoid and processing method. Methods： Selecting July 2010 to September 2013 in our hospital treated 136 cases of surgical treatment of severe mixed hemor-rhoids patients, 23 patients of postoperative hemorrhage disease symptoms, including observation analysis of the clinical etiology and treatment. Results Classification of patients with postoperative bleeding according to the procedure of improper operation re-sulting in 19 cases of primary bleeding, secondary bleeding due to postoperative infection and nursing for patients, 4 cases of mixed hemorrhoid postoperative hemorrhage reason analysis showed that is caused by the improper operation in the process of op-eration, through the corresponding postoperative processing, all effective control of bleeding in patients with symptoms, all patients were improved and rehabilitation hospital, patients in the postoperative patients without recurrence within a year. Conclusion clin-ical surgical treatment in patients with severe mixed hemorrhoid, for the patient to choose the proper operation can improve the patientˊs clinical condition, the preoperative prepared accordingly, carried out in strict accordance with the specification in the process of surgery, avoid postoperative bleeding can control bleeding in patients with conditions, and closely monitoring for patients after surgery can effectively reduce the postoperative bleeding.