普通胸外科手术大出血原因及对策
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普通胸外科手术大出血原因及对策
作者:王健 王正 杨林
来源:《中外医疗》2013年第21期
[摘要] 目的 探讨普通胸外科手术大出血原因及对策。方法 该研究选择的对象共20例,均为该院2010年2月—2013年2月收治的普通胸外科手术大出血患者,对大出血原因进行分析,并制定和实施防治对策,回顾分析临床资料。结果 该研究选择的20例患者中,完成初步止血操作后,裂口用无损伤缝线缝合,并行无损伤血管钳对血管上下端进行阻断及时止血18例。阻断静脉主干或出血动脉,对出血裂口进行修复2例。大出血均得到理想控制,无严重并发症及死亡病例发生。结论 分析普通胸外科手术大出血的原因,术前做好充分准备,加强预防,一旦发生大出血,立即采取措施抢救,可有效止血,降低死亡率。
[关键词] 普通胸外科;手术大出血;原因;对策
[中图分类号] R655 [文献标识码] A [文章编号] 1674-0742(2013)07(c )-0021-02 General Thoracic Surgery Bleeding Causes and Countermeasures
WANG Jian WANG Zheng YANG Lin
Shenzhen People's Hospital,Shenzhen 518020,China
[Abstract] Objective To investigate the Causes and Countermeasures of general thoracic surgery bleeding. Methods The object of the study, a total of 20 cases were admitted to our hospital from February 2010 to February 2013 general thoracic surgery in patients with bleeding, the cause of the bleeding , and develop and implement prevention and control measures, retrospective analysis of clinical data. Results 20 patients in the study, after the completion of the initial operation to stop bleeding , cracks with no damage suture, parallel damage forceps blocking vascular upper and lower ends of the bleeding time 18 cases. Blocking the vein or bleeding artery bleeding gap repair in 2 cases. Bleeding ideal control, no serious complications and deaths occur. Conclusion bleeding because of general thoracic surgery, preoperative fully prepared to strengthen prevention, in the event of bleeding, to take immediate measures to rescue, which can effectively stop the bleeding and reduce mortality.
[Key words] General thoracic surgery; Surgical bleeding; Reason; Countermeasures
普外科手术严重并发症类型中,大出血占有一定的发生比例,致命性大出血指医源性操作或外伤等导致的大血管或心脏破裂,病情进展迅速,出血凶猛,若未采取有效措施及时救治,极易引发休克,对患者的生命安全构成直接威胁[1-2]。故分析大出血原因,并制定针对性防控措施,是保障手术安全,降低不良事件发生率的保障。为探讨普通胸外科手术大出血原因及对