Secondary bleeding after hemorrhoid treatment steps.docVIP

 PAGE \* MERGEFORMAT 8 Secondary bleeding after hemorrhoid treatment steps Secondary bleeding hemorrhoid surgery after anorectal disease is a serious complication, often an emergency condition, and the bleeding is more difficult to deal with often not timely or inappropriate will be worse and even endanger the life of patients. Our department past 15 years using a variety of means a total saving of secondary hemorrhage after treatment of hemorrhoids in 8 cases, results were satisfactory, are summarized the clinical use of various treatment steps for your reference. The report is as follows. 1 Clinical data 8 patients, 7 males and 1 female, aged 25 to 56 years old. Bleeding time after 6 to 16 days. Surgical ligation using external dissection in 5 cases, 3 cases of sclerosing injection technique, postoperative bleeding occurred in hospital in 4 cases, 4 cases of hospital. hematochezia number 1 or 2 times / d 5 cases,gt; = 3 times / d 3 cases, blood in the stool every timegt; = 200 mL and there is blood stasis block. which is less than 90/60 mmHg in blood pressure and pulse greater than 100 times / min, shock symptoms in 3 cases, 3 cases to be blood transfusion this anti-shock treatment, in which there is no measurement of blood pressure in 1 patient, accompanied by significant disturbance of consciousness. The patient had positive anti-shock and bleeding discharged after treatment, renal impairment does not appear related complications. 2 treatment 2.1 General treatment of systemic monitoring of vital signs immediately after hospitalization, oxygen, intravenous access established supplementary volume, according to the results of monitoring blood pressure quickly enter first isotonic fluid given set of bleeding, tranexamic acid and anti-inflammatory drug therapy to stop bleeding , severe combined cross the blood transfusion given to anti-shock therapy. while continuing to monitor vital signs, intake and output in mind (especially urine). 2.2