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中华肥胖与代谢病电子杂志 ›› 2022, Vol. 08 ›› Issue (02) : 73 -78. doi: 10.3877/cma.j.issn.2095-9605.2022.02.001

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腹腔镜Roux-en-Y胃旁路术术后出血的预防及处理
赵稳1, 高文星1, 李丁昌1, 金露佳1, 陈鹏1, 武现生1, 董光龙1,()   
  1. 1. 100853 北京,解放军总医院第一医学中心普通外科医学部
  • 收稿日期:2022-03-26 出版日期:2022-05-30
  • 通信作者: 董光龙

Prevention and management of postoperative hemorrhage after laparoscopic Roux-en-Y gastric bypass

Wen Zhao1, Wenxing Gao1, Dingchang Li1, Lujia Jin1, Peng Chen1, Xiansheng Wu1, Guanglong Dong1,()   

  1. 1. Department of General Surgery, Chinese PLA General Hospital, Beijing 100853, China
  • Received:2022-03-26 Published:2022-05-30
  • Corresponding author: Guanglong Dong
引用本文:

赵稳, 高文星, 李丁昌, 金露佳, 陈鹏, 武现生, 董光龙. 腹腔镜Roux-en-Y胃旁路术术后出血的预防及处理[J]. 中华肥胖与代谢病电子杂志, 2022, 08(02): 73-78.

Wen Zhao, Wenxing Gao, Dingchang Li, Lujia Jin, Peng Chen, Xiansheng Wu, Guanglong Dong. Prevention and management of postoperative hemorrhage after laparoscopic Roux-en-Y gastric bypass[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2022, 08(02): 73-78.

近年来,随着减重代谢手术的发展,腹腔镜Roux-en-Y胃旁路术(LRYGB)术后并发症的报道并不少见,其中出血是LRYGB术后最严重的并发症之一,有增加围术期再手术、患者死亡等严重不良事件发生风险。因此,预防和及早识别术后出血,并积极采取有效的治疗措施,是缩短治疗周期,避免不良事件发生的关键。本文将着重论述LRYGB术后出血并发症的危险因素、发病原因、预防以及诊治过程,总结出血防治经验。

In recent years, bariatric surgery has developed rapidly, and its surgical procedures are constantly being innovated. But the postoperative complications after laparoscopic Roux-en-Y gastric bypass (LRYGB) are not rare, among which hemorrhage is one of the most serious complications after LRYGB, with an increased risk of serious adverse events such as perioperative reoperation and death.Therefore, identifying postoperative hemorrhage timely and taking effective measures promptly according to the clinical context are the keys to reducing the treatment cycle, and avoiding adverse events. This review article aims to conclude risks factors, causes, preventive measures and means of treatment for postoperative hemorrhage after LRYGB.

图1 LRYGB术后早期出血的处理流程图
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