针对腹腔镜术后出血诊治的临床研究

Clinical study on diagnosis and treatment of laparoscopic hemorrhage

目的探讨腹腔镜术后出血临床处理以及早期诊断干预措施。方法对腹腔镜手术出血进行调查分析,探讨腹腔镜手术出血的危险因素提高腹腔镜手术成功率,对聊城市第三人民医院2014年1月至2016年1月在本院普外科行相关腔镜手术100例患者进行研究,对腹腔镜手术后有出血患者对症治疗。结果 100例患者中,发生休克出血15例,发生率为15.0%。结论导致腹腔镜手术出血的危险因素有年龄、体重指数、穿刺时是否采用透光法有一定关系。对"可疑"腹腔镜术后出血患者进行早期干预,观察其血压血常规变化情况,转变为典型的出血性休克的几率,进一步提出早期诊断和干预腹腔镜术后出血的可行性。

Objective To investigate the clinical management and early diagnosis of hemorrhage after laparoscopic surgery. Methods Investigate and analyze the bleeding in laparoscopic surgery, explore the risk factors of bleeding in laparoscopic surgery to improve the success rate of laparoscopic surgery, and study 100 patients who underwent relevant endoscopic surgery in Liaocheng Third People's Hospital from January 2014 to January 2016, and give symptomatic treatment to bleeding patients after laparoscopic surgery. Results Among the 100 patients, shock and hemorrhage occurred in 15 cases, with an incidence of 15.0%. Conclusion The risk factors of bleeding in laparoscopic surgery include age, body mass index and whether light transmission is used during puncture. Early intervention was carried out on " suspected" patients with bleeding after laparoscopic surgery, blood pressure and blood routine changes were observed, and the probability of turning into typical hemorrhagic shock was further raised, and the feasibility of early diagnosis and intervention of bleeding after laparoscopic surgery was further put forward.