口腔癌术后患者消化道出血的高危因素分析及预防对策

Risk factors of postoperative gastrointestinal bleeding in oral cancer patients and their preventive measures

目的:探讨口腔癌术后患者消化道出血的危险因素及预防对策。方法:对2013年9月-2015年8月收治的105例口腔癌患者临床资料和术后消化道出血情况进行回顾性分析。结果:105名患者中,术前有消化道出血高危因素者44例,占41.9%,术后积极给予护胃及补液治疗后出现消化道出血的概率为1.90%。结论:针对口腔癌患者术后消化道出血的危险因素,合理应用护胃药物,尽快安插胃管、给予胃肠内营养、改善患者的基础情况,可以降低消化道出血的发生率。

Objective： The aim is to investigate the risk factors of postoperative gastrointestinal bleeding in oral cancer patients and their preventive measures, so as the reference for clinical diagnosis and treatment. Method： We collect 105 cases of oral cancer from September 2013 to August 2015 in our department and retrospectively analyze the clinical treatment and postoperative gastrointestinal bleeding. Result： Only 2 patients （1.90 %） were complicated with postoperative upper gastrointestinal tract bleeding after positive using the stomach protective medicine and fluid replacement treatment while 44 patients （41.9 %） had preoperative risk diseases for gastrointestinal bleeding. Conclusion：The occurrence of postoperative gastrointestinal bleeding in oral cancer patients could be reduced by application of stomach protective medicine, implantation of gastric tube, administration of enteral nutrition and improvement of patients basic condition.