PPH术后出血的原因和对策

【摘要】〓目的〓探讨吻合器痔上粘膜环切术(PPH)后出血的相关原因以及相应的对策。方法〓回顾分析我院15例PPH术后出血患者的临床资料,分析出血原因。结果〓9例术后12 h内出血,6例术后5至10天出血,所有患者经局部压迫止血、使用止血剂等保守治疗或再次手术均成功止血,无一例死亡。出血原因可能与手术技术、凝血功能、术后便秘、激烈运动等有关。结论〓PPH术后出血的原因较多,应具体分析,针对相关的原因采用相应的对策才能达到最好的临床效果。

The causes and therapeutical strategies of postoperative bleeding following procedure for prolapse and hemorrhoids

Objective To investigate the causes and therapeutical strategies for postoperative bleeding following procedure for prolapse and hemorrhoida （PPH）. Method The clinical data from 15 patients with postoperative bleeding following PPH were retrospectively analyzed. The cause of postoperative bleeding was also analyzed. Results Of 15 cases with postoperative bleeding, bleeding happened within 12 hours after PPH in 9 cases and between 5 to 10 days in 6 cases. All patients with postoperative bleeding were cured by local compression, astringent and re-surgery. The postoperative bleeding was associated with surgical skills, coagulation function, constipation and strenuous exercise. Conclusion There are several causes for postoperative bleeding following PPH. The postoperative bleeding following PPH could be well treated according to its specific causes.