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我院于1960~1985年共收治直肠恶性肿瘤321例,施行根治性切除222例,发生骶前静脉丛损伤造成大出血6例(2.7%)。男性5例,女性1例。年龄55岁以上4例。其中2例撕破骶前筋膜。出血量最多5000ml,最少500ml,4例伴休克。4例术中经子宫纱条填塞压迫止血和双侧髂内动脉结扎奏效,术后恢复良好,1例因损伤较轻,单纯缝扎止血,余1例经各种方法止血失败,出血5000ml,术后合并急性肾衰抢救无效死亡。
In our hospital from 1960 to 1985 were treated 321 cases of malignant tumors of the rectum, the implementation of radical resection in 222 cases, the occurrence of presacral venous plexus injury caused by massive bleeding in 6 cases (2.7%). 5 males and 1 females. 4 years old above 55 years old. Among them, 2 cases of presacral fascia were torn. Bleeding up to 5000ml, at least 500ml, 4 cases with shock. 4 cases of intraoperative uterine gauze packing hemostasis and bilateral internal iliac artery ligation effect, postoperative recovery was good, 1 case due to lesser injury, simple suture to stop bleeding, more than 1 case of various methods to stop bleeding, bleeding 5000ml, Postoperative acute renal failure associated with death invalid.