肛肠疾病患者术后直肠出血的发生原因及其临床防治措施研究

唐郁，王峰

（中航工业西安医院，陕西 西安，710077）

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摘要：

目的 分析肛肠疾病患者术后发生直肠出血的影响因素，探讨可行的临床防治方法。方法 随机选取2014 年4 月至2017 年1 月在我院行肛肠手术治疗并发生出血现象的肛肠疾病患者120 例，搜集并统计全部患者的临床资料，分析肛肠患者术 后发生直肠出血的影响因素，并探讨可行的临床防治方法。结果 所有患者均经适当的处理后有效止血，没有发生1 例死亡；患者的平均出血时间是在术后的（7.52±1.29）d，患者的平均住院时间是（27.81±5.34）d，平均出血量是（146.35±39.87）mL。7 例 （5.83%）患者由于在术后没有遵医嘱即进行剧烈的活动而出血，11 例（9.17%）患者在术后由于大便干燥而过度费力，6 例 （5.00%）患者由于在术后即行排便而出血，17 例（14.17%）患者由于在术前没有详细调查近期用抗凝药而出血，20 例 （16.67%）患者合并原发性高血压，13 例（10.83%）患者伴有腹部肿瘤，13 例（10.83%）患者的凝血功能存在异常，8 例（6.67%）
患者在术中的切口不当，19 例（15.83%）患者在术中的止血操作不规范，6 例（5.00%）患者的结扎线发生滑脱。结论 肛肠手术 术后发生出血的影响因素较多，在临床中应针对高发因素采取有效地预防和治疗措施，降低直肠出血的风险。

关键词：肛肠疾病；直肠出血；影响因素；防治方法

中图分类号：R657.1文献标志码：A文章编号：2096-1413(2017)32-0038-02

Reasons of hemoproctia after anorectal surgery and its clinical preventive measures
TANG Yu, WANG Feng
(Xi``an Hospital of Aviation Industry Corporation of China, Xi``an 710077, China)

ABSTRACT: Objective To analyze the influence factors of hemoproctia after anorectal surgery in anorectal patients, and research the feasible clinical treatment methods. Methods A total of 120 patients with anorectal disease who took surgical treatment and occurred hemoproctia in our hospital from April 2014 to January 2017 were randomly selected, and their clinical data was collected, and the influence factors for anorectal patients with hemoproctia after surgery were analyzed, and the feasible clinical treatments were researched. Results There was no case of death after effective appropriately stop bleeding treatment. The mean bleeding time was (7.52±1.29) d after operation, the mean length of hospitalization was (27.81±5.34) d, the mean blood loss was (146.35±39.87) mL. 7 cases (5.83%) patients had bleeding due to violent activity after surgery; 11 cases (9.17%) were overstrained due to dry stool after surgery; 6 cases (5.00%) due to immediately defecation after surgery; 17 patients (14.17%) due to anticoagulant in the absence of detailed investigation before surgery; 20 cases (16.67%) had primary hypertension; 13 cases (10.83%) had abdominal tumors; 13 cases (10.83%) had abnormal coagulation function; 8 cases (6.67%) had improper incision during surgery; 19 cases (15.83%) had no regular hemostasis during surgery; 6 cases (5.00%) had ligation line slippage. Conclusion There are many influence factors in hemoproctia after anorectal surgery, and the effective prevention and treatment measures should be taken aim at the clinical risk factors to reduce the risk of hemoproctia.
KEYWORDS: anorectal disease; hemoproctia; factors; prevention and treatment methods

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