【摘要】 目的使参与急性消化道大出血抢救的人员了解诊治过程中容易忽略的问题,尤其是多部门合作中容易忽略的协作问题,提高抢救的成功率。方法分析66例复杂的消化道大出血抢救的全过程,了解内科、介入放射科、外科联合抢救过程中的缺陷与其产生的原因,结合相关文献,总结出解决的思维方法和技术方法。结果内科对向血管介入科室选送的病人进行的提高血容量、减少血管收缩剂的使用等预处理和入选病例问题上应予重视;介入放射科在造影血管的选择、操作技术、采像方式和时间上的完善可提高成功率,在病灶区放入导管可协助外科的手术定位;外科在手术中除积极运用传统的技术耐心探查,还应采用术中内镜和灵活创新的新技术方法以探明病灶。结论本病的抢救是急诊的难点之一,重点在于病灶定位,在此问题上,多科室间的协作和技术的完善以及创新在成功抢救上尤为关键。更多还原

【Abstract】 Objective To explore emergency treatment of complex acute gastrointestinal hematorrhea, and to increase the success rate. Methods The emergency treatment and emergency measures course of the 66 cases of complex acute digestive hemorrhage were analyzed. Results The internist should think that increase the blood volume of patients and decrease the usage of vasoconstrictor, the radio-doctor should improve in selecting the right blood vessel, time model of collecting the photos locate the lesion by placing a duct. The surgeon must make agile used the endoscopy and other new technology besides the traditional methods to find out the lesion. Conclusion The cooperation of every department is important to emergency treatment acute gastrointestinal hematorrhea.更多还原