摘要
目的总结和探讨肝切除患者术后常见并发症及其防治经验。方法回顾性分析288例肝癌肝切除术后围手术期并发症及其处理。结果术后并发症包括肝肾功能不全(44例),胸腔积液(10例),腹腔继发出血(8例),上消化道出血(6例),胆汁漏(6例),切口感染(6例),肺部感染(4例),切口疝(4例),腹腔脓肿(2例),自发性气胸(2例)。有并发症组和无并发症组患者的血浆白蛋白(ALB)、总胆红素(TB IL)、凝血酰原时间(PT),肝硬化情况以及术中失血量、手术时间、切除范围、肝门阻断时间存在差异(P<0.05)。全组因并发症死亡12例,病死率4.2%(12/288)。结论术前改善肝功能储备、提高手术技巧及了解各种并发症的发生时间和症状是防治肝切除术后并发症的关键因素。
Objective To study the prevention and treatment of complications associated with hepatectomy. Methods Comlications and treatment of 288 patients with primary liver carcinoma （PLC） were retrospectly analysed. Result complications included hepatic function insufficiency （44 cases）, pleural effusion （ 10 cases）, intra-abdominal hemorrhage （8 cases ）, up gastrointestinal bleeding （ 6 cases ）, bile leakage （ 6 cases ）, would infection （ 6 cases ）, pneumonia （ 4 cases ）, incision hernia （4 cases ）, abdominal abscess （2 cases ）, spontaneous pneumothorax （2 cases）. Blood plasma albumin, Bilirubin, prothrombin time, degree of cirrhosis and haemorrhage, using time, resected liver volumes, hepatic inflow occlusion time during operation were different bwtween occurred and not occurred complications patients, of all patients, 12 died due to uncontrollable complications. Conclusion better preoperative liver function,advances in surgical technique and acquaintance with the clinical features of complications are important to prevent compications from occurring.
出处
《肝胆外科杂志》
2005年第6期421-423,共3页
Journal of Hepatobiliary Surgery
关键词
肝肿瘤
肝切除术
并发症
Liver neoplasms Hepatectomy
Postoperative complications
作者简介
侍阳，男，硕士．主治医师。研究方向：普通外科。
