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中国现代手术学杂志  2018, Vol. 22 Issue (1): 29-32    DOI: 10.16260/j.cnki.1009-2188.2018.01.008
  临床论著 |
结扎髂内静脉或股静脉在盆腔手术大出血的抢救作用
李凌1,李瑞华2
1.广州医科大学肿瘤医院胸外科,广州 510095; 2.广东省河源友好医院外科,河源 517000
Rescue Effect of the Ligation of Internal Iliac Vein or Femoral Vein on Massive Bleeding during PelvicSurgery
LI Ling1,LI Rui-hua2
1.Department?of?Thoracic?Surgery,Tumor?Hospital?of?Guangzhou?Medical?University,Guangzhou?510095,Guangdong,China; 2.Department?of?Surgery,Heyuan?Friendship?Hospital,Heyuan?517000,Guangdong,China
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摘要 ?目的?探讨结扎髂内静脉及股静脉在盆腔手术大出血时的抢救作用。方法?回顾性分析总结二例盆腔手术时大出血患者的临床资料,其中1例为直肠癌手术时骶前静脉损伤大出血而结扎髂内静脉;另一例为取骨盆钢板时髂外静脉损伤大出血而结扎股静脉。结果2例患者术中均获得完全止血及安全出院。结论?盆腔手术如骶前静脉或髂外静脉损伤大出血时,即刻行有效结扎可以有效止血,挽救生命。
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李凌1,李瑞华2
关键词:  ?结扎术  失血,手术  盆腔手术  骶前静脉损伤  髂外静脉损伤    
Abstract: Objective?To discuss the rescue effect of the ligation of internal iliac vein and femoral vein on massivehemorrhageduring the pelvic operation.Methods?A retrospective analysis of treatment skills and effect was performed for two patients with massivehemorrhageduring the pelvic operation.One case was treated with ligation of internal iliac vein forhemorrhea associated with presacral vein injuryduring the rectal cancer operation,and the other case was treated by ligation of femoral vein forhemorrheadue to external iliac vein injury when the internal fixation of pelvic plate was taken out.Result?Bleeding was stopped completely for both two patientsduring the operations,anddischarged fromhospital in safety.Conclusion?The reliable ligation can achievehemostasis effectively and save the life for patients with massivehemorrhage associated with presacral vein or external iliac vein injuryduring the pelvic operation.
Key words:  ligation    blood loss,surgical    pelvic surgery; presacral vein injuries    external iliac vein injuries
                    发布日期:  2018-08-13      期的出版日期:  2018-08-13
ZTFLH:  R654.3|R735.37|R683  
通讯作者:  李瑞华   
作者简介:  李凌,男,32岁,广州医科大学肿瘤医院胸外科主治医师。
引用本文:    
李凌1,李瑞华2. 结扎髂内静脉或股静脉在盆腔手术大出血的抢救作用[J]. 中国现代手术学杂志, 2018, 22(1): 29-32.
LI Ling. Rescue Effect of the Ligation of Internal Iliac Vein or Femoral Vein on Massive Bleeding during PelvicSurgery. Chinese Journal of Modern Operative Surgery, 2018, 22(1): 29-32.
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