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目的 :探讨喉癌及下咽癌术后合并急性上消化道出血的病因 ,发病机理 ,预防和治疗方法。方法 :对 186例喉癌和下咽癌患者术后资料进行回顾性分析。结果 :186例喉癌和下咽癌中喉癌 112例 ,下咽癌 72例 ,术后合并急性上消化道出血 34例 ,发病率为 18 3%。 91%的出血发生在术后 1周之内 ,平均出血时间为4 0± 2 1d ,患者均经非手术治疗治愈。结论 :采取积极有效的防治措施是减少术后急性上消化道出血的关键
Objective: To investigate the etiology, pathogenesis, prevention and treatment of acute upper gastrointestinal bleeding after laryngeal cancer and hypopharyngeal carcinoma. Methods: The postoperative data of 186 patients with laryngeal and hypopharyngeal carcinoma were analyzed retrospectively. Results: Of the 186 laryngeal and hypopharyngeal carcinomas, 112 were laryngeal cancer and 72 were hypopharyngeal cancer. Postoperatively, 34 cases were complicated with acute upper gastrointestinal bleeding with a morbidity of 18.3%. 91% of bleeding occurred within 1 week after operation, and the average bleeding time was 40 ± 21 days. All patients were cured by non-surgical treatment. Conclusion: To take active and effective prevention and treatment measures is to reduce the key postoperative acute upper gastrointestinal bleeding