论文部分内容阅读
目的探讨胃癌合并急性上消化道出血的诊断与治疗,为临床处理该类急症提供参考依据。方法回顾性分析胃癌合并急性上消化道出血患者36例临床资料患者,其中男性24例,女性12例;年龄29～78岁经胃镜和病理诊断。病例行保守治疗止血后限期手术和急诊手术治疗。结果腺癌19例,粘液癌12例,未分化癌5例。经保守治疗止血后限期手术25例;急诊手术11例,痊愈34例,死亡2例,死因为多器官功能衰竭。结论胃癌合并急性出血患者确诊后应及时予以手术治疗,治愈率高。
Objective To investigate the diagnosis and treatment of gastric cancer complicated with acute upper gastrointestinal bleeding and provide a reference for clinical treatment of such emergency. Methods The clinical data of 36 patients with gastric cancer complicated with acute upper gastrointestinal bleeding were retrospectively analyzed, including 24 males and 12 females. The patients aged 29-78 years were diagnosed by gastroscope and pathology. Cases of conservative treatment of hemostasis after surgery and emergency surgery. Results Adenocarcinoma in 19 cases, mucinous carcinoma in 12 cases, undifferentiated carcinoma in 5 cases. Twenty-five cases were treated conservatively after hemostasis. Eleven patients underwent emergency operation, 34 cases were cured and 2 died. The cause of death was multiple organ failure. Conclusion Gastric cancer patients with acute hemorrhage should be treated promptly after diagnosis. The cure rate is high.