Acute (profuse) hemorrhoidal bleeding
Aiwaz A. Khairullin , Mikhail N. Klimentov , Svetlana N. Styazhkina , Elena O. Skornyakova , Sergey V. Sysoev
Perm Medical Journal ›› 2023, Vol. 40 ›› Issue (3) : 5 -9.
Acute (profuse) hemorrhoidal bleeding
Objective. Hemorrhoids is one of the most common diseases in adult coloproctological practice, the main manifestation of which is bleeding of different degree of activity and complexity. The aim of the study was to analyze the results of diagnostics and treatment of patients with different stages of hemorrhoids for 3 years.
Materials and methods. The results of diagnostics and treatment of patients with different stages of hemorrhoids treated in the coloproctological unit for 3 years (2019–2021) were analyzed.
Results. The article considers the hemorrhoidal bleeding and the possibility of classification to optimize treatment; an algorithm used for rendering medical care to this group of patients is presented. The case histories of patients with hemorrhoids, treated at the First Republican Clinical Hospital of Udmurt Republic, were analyzed.
Conclusions. Patients with profuse hemorrhoidal bleeding need hospitalization to the resuscitation unit, immediate identification and treatment of hemorrhagic shock. The offered protocol (algorithm) of managing patients permitted to work in a team, improve the quality of rendering medical care to patients with profuse hemorrhoidal bleeding and avoid lethal outcomes.
Hemorrhoids / bleeding / algorithm / classification / treatment
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Khairullin A.A., Klimentov M.N., Styazhkina S.N., Skornyakova E.O., Sysoev S.V.
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