关键词: 消化道出血, 手术后并发症

Abstract:

Surgical management of gastrointestinal hemorrhage: an analysis of 49 cases        WEI Bo, CHEN Lin, XIE Wan-song, et al. Department of General Surgery, General Hospital of PLA, Beijing 100853, China
Corresponding author: CHEN Lin, E-mail：Chenlinbj@vip.sina.com
Abstract    Objective    To review the value and effect of the surgical management of gastrointestinal hemorrhage. Methods    The clinical data of 49 cases of gastrointestinal hemorrhage treated by laparotomy and intraoperative endoscopy between January 2007 and December 2009 at the General Hospital of PLA were analyzed retrospectively. Results    All cases were divided into two groups according to whether the etiology is clear or not. Thirty-six cases were belongs to the group of preoperative determined etiology and 13 cases belongs to the group of unknown in etiology. All the cases were performed surgical procedure. The perioperative mortality of gastrointestinal hemorrhage in the study was 12.24% (6/49), and that of the two group was 5.56% (2/36) and 30.76% (4/13) respectively. There was significant difference in the mortality between the two groups (P=0.036). Conclusion    Evidence from the series of cases suggests that preoperative definited diagnosis is the key to improving the curative effect and reducing the incidence of complication in perioperative period.

Key words: gastrointestinal hemorrhage, postoperative complications