【摘要】 目的 :探讨胃大部切除术后残胃应激性浅表黏膜损害大出血的诊治。方法 :回顾分析 10年间收治 10例胃大部切除术后残胃应激性浅表黏膜损害大出血临床资料。结果 :胃大部切除术后残胃应激性浅表黏膜损害大出血多发于术后 1周 ,为突发大量呕血或便血。急诊胃镜查见残胃黏膜呈弥慢性水肿糜烂和出血 ,均经保守治疗后治愈。结论 :胃大部切除术后 1周内呕血便血病人 ,应尽快行急诊胃镜检查以明确诊断 ,并采取保守治疗更多还原

【Abstract】 Objective: To investigate the diagnosis and treatment of superficial gastric mucosal Lesion and massive hemorrhage by stress after partial gastrectomy. Methods: The clinical data were analysed retrospectively in 10 patients with superficial gastric mucosal Lesion and massive hemorrhage by stress after partial gastrectomy during 10 years. Results: All patients with superficial gastric mucosal Lesion and massive hemorrhage by stress were in postoperative period and the main manifestations were acute hematemesis or hemafecia in the the first week after operation. All patients underwent emergency gastroscopy and were found diffuse edema or erosion and hemorrhage of gastic mucosa. Conservative treatment cured these patients. Conclusion: Patient with hematemesis or hemafecia during the the first wkke of partial gastrectomy should be examined by emergency gastroscopy and conservative treatment is the best choice.更多还原