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| 口腔癌根治术后并发消化道应激性溃疡出血13例分析 | |
| 引用本文： | 李劲松,黄启辉,于钟,王彤.口腔癌根治术后并发消化道应激性溃疡出血13例分析[J].岭南急诊医学杂志,2004,9(1):42-43. |
| 作者姓名： | 李劲松 黄启辉 于钟 王彤 |
| 作者单位： | 1. 中山大学附属第二医院口腔科,510120 2. 中山大学附属第二医院中医科,510120 3. 中山大学附属第二医院消化内科,510120 4. 中山大学附属第二医院急诊科,510120 |
| 摘 要： | 目的：探讨口腔癌根治术后并发消化道膻激性溃疡出血的预防和治疗经验。方法：回顾性分析13例口腔癌根治术后并发消化道应激性溃疡出血病人的临床资料。结果：患者临床表现为腹痛、排柏油样大便、呕血、低血容量休克、贫血等。11例出血得到较快控制，1例反复出血，延迟6d才得以缓解。1例死于失血性休克：结论：口腔癌根治术后并发消化道应激性溃疡出血是一种严重的并发症，它与患者年龄大、精神紧张、手术创伤及使用激素等有关，要注重对本病的预防，在治疗上应尽早采取积极措施，注意治疗方法的选择。 |
| 关 键 词： | 口腔癌 根治术 术后并发症 消化道应激性溃疡 消化道出血 预防 治疗 |
The Analysis of 13 Cases on Stress Ulcer with Bleeding After Radical Surgery of Oral Cancer |
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| LI Jing-song,HUANG Qi-hui,YU Zhong,WANG Tong.The Analysis of 13 Cases on Stress Ulcer with Bleeding After Radical Surgery of Oral Cancer[J].Lingnan Journal of Emergency Medicine,2004,9(1):42-43. | |
| Authors: | LI Jing-song HUANG Qi-hui YU Zhong WANG Tong |
| Institution: | LI Jing-song,HUANG Qi-hui,YU Zhong,WANG Tong Department of Stomatology,Department of Chinese Medicine,Medicine. Department of Emergency. The Second Affiliated Hospital of Sun Yat-sen University,Guangzhou,510120 |
| Abstract: | Objective: To discuss the experience of prevention and treatment in stress ulcer with bleeding after radical surgery of oral cancer. Methods: The clinical informations of 13 cases with stress ulcer after radical operation of oral cancer were reviewed retrospectively. Results: There were stomachache, tarrystool, hematemesis, hypovolemic shock and hemorrhagic anemia. 11 cases of bleeding were effectively controlled, but 1 case bleeded repeatedly, controlled after 4 days.l case died of hypovolemic shock. Conclusions:Stress ulcer with bleeding is a severe complication in postoperation of oral cancer. It relates to patient's age, spirit, trauma and Dexamisone. It is important to put prevention first and treat as soon as possible. |
| Keywords: | oral cancer/surgery complication slress ulcer hemorrhage |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |