引用本文:黄效廷.肝癌切除术后并发症的预防及治疗[J].中国临床新医学,2010,3(5):483-484.
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肝癌切除术后并发症的预防及治疗
黄效廷
535400 广西,灵山人民医院肝胆外科
摘要:
[摘要] 目的 探讨肝癌切除术后常见并发症的预防和治疗, 以保障手术安全。方法 回顾性分析近10年来我院行肝癌切除术的89例病例资料, 对其中发生并发症的原因、处理及预防等进行分析。结果 全组并发症包括腹腔继发出血5例、上消化道出血2 例、肝功能衰竭4例、胆瘘1例、胸腔积液12例、膈下感染4例。因并发症死亡5例, 病死率为5.6%。结论 正确掌握手术适应证,提高手术操作技巧, 积极的围手术期处理,可降低并发症发生率和手术死亡率。
关键词:  肝癌  手术切除  并发症
DOI:10.3969/j.issn.1674-3806.2010.05.27
分类号:R 735.7
基金项目:
Prevention and treatment of complications after liver cancer resection
HUANG Xiao-ting
Department of Hepatobiliary Surgery, Lingshang People′s Hospital,Guangxi 535400,China
Abstract:
[Abstract] Objective To study the prevention and treatment of the common complications after liver cancer resection,as much as possibly to keep the operation safe.Methods The data 89 case of liver cancer resection in our hospital were retrospectively analyzed,and the canses and the motheds of treatment and prevention of the complications were analyzed.Results The common complications included secondary intraperitoneal hemorrhage,5 cases;hemorrhage of digestive tract, 2 cases;liver failure,4 cases;biliary fistula,1 cases;hydrothorax,12 cases;subphrenic infection,4 cases. 5 cases died of complications;the mortality was 5.6%.Conclusion Mastering the surgical indication correctly, improving operation technique, addressing the question in the peri- operation period actively,and all the step will reduce the incidence of the complication and operative mortality.
Key words:  Liver cancer  Complication  Resection