PPH手术中严重的迷走神经反射70例分析.pdfVIP

• 4G • 生自直肠虹门外科 2口 06 年第 ln吉第 l 期 PPH 手术中严嚣的迷走神经反射 70 例分析 式汉钢铁集团公司总医院月工肠外科 130080 司徒光伟 武汉大学中南民院月工肠外科 430050 钱 群 摘要喜 目的:摞讨 PP日子术中出现严熏迷走神经反射的原网彻治疗方洁。方法，分析 70 例 PPH 术中出现严重边志神经反射 患者的资料，了解术前息者合并心I缸管疾病与术中发生产鉴迷走神主主R射的关草，总结出现严重迷志神经反射的处理方楼。 黯ll: 腹部险胀不埠，怒I r、岖吐、心里辑、血脱急剧下陈等是 PPH 手术中出现严臻的迷走柿级反射时的常见临床表现，合并心 脏功能做或帮Ø\恢疾病是IPH 于本中出现产数稳定神去?射的高贯主网絮。销论:i握过适当的处辈革可以便 PPH 术中严意边 走神绞射的病人顺利的i通过手术，得到麟策。 3在键诩 PPH ，婷;神绘成射 中国周书资料分费每 日657， 18 Analysis of Serious Vago-r制ponse during PPH for the Treatment of Hemorrhoids 日itu Guangwei. Department of Coloproctology , Wuhan Iron . Stee1 Corporation Hospital , Wuhan 430080; Qian Q飞10. Department 01 ColoproctoJogy , Zhongnan HospítaJ 01 Wuhan Uníversíty , Wuhan 430050 Abstract Objective:To evaluate the reasons and treatment of patíents with serious vago response during PPH lor the treatment 01 hemorrhoids. Meth制1 .， Data of 70 patients who had vago-respons已 during PPH were retrospectl飞loly analyzed. The relationship bctwe巳n cardiovascular diseases and the happening of vag什 respoη时 was investigated. Results: The common clinical manifestations 01 vago-response were uncomforta- ble feeJi ng 01 abdomen , nausea , vo!niting , decreasing 01 heart rate and blood pressure. Cardiovascular dis eases were the high risk factor for vago-response during PPH. Conclusioh: Suitable management can gel the patients who have serious vago~r阳ponse in PPH in the treatment of hemorrhoids through the operation. Key words Hemorrhoid; PPH; vago-rcsponse; Surgery 在行 PPH 予术时.~收紧荷包缝合线、悲拉新 cm 处，由 3 点进针，沿黯膜下层做…荷包缝合，根据 膜、收紧吻合器及奋发过程中常伴随手可去鉴定神线反 脱悲情况.tEt母状线上 3~3. 5 cm 处.由 9 点进针， 射现象。辛E 者表现为下Jl!l疼痛、恶心、烦躁;严建省 衔新膜下后做第二二个荷包辈辈合，设人吻合器，