中国实用外科杂志

中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (06): 490-493.

• 论著 • 上一篇    下一篇

曲式单一腹主动脉阻断无血切肝术8例报告

饶荣生a，魏小勇a，蔡锦根b，徐国辉a，杨小敏b，温时来a   

  1. 江西省肿瘤医院，江西南昌330029 a.肝脏外科，b.麻醉科
  • 出版日期:2010-06-01 发布日期:2010-05-25

  • Online:2010-06-01 Published:2010-05-25

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摘要：

目的    报告曲式单一腹主动脉阻断无血切肝术的临床应用体会，探讨术中平均动脉压变化规律。
方法    2009年3~6月江西省肿瘤医院肝脏外科采用曲式单一腹主动脉阻断无血切肝术，切除8例不同部位的肝肿瘤。术中监测病人基础血压与阻断前后及撤钳前后各时间点的血压变化，通过术中给药等方法对血压波动进行调控。结果    8例均安全耐受曲式无血切肝术所导致的血压波动；术中切肝平均出血量96（40～200）mL；腹主动脉阻断平均时间12（7～15）min；所有病人术中术后无需输血,且未出现任何相关并发症。结论    曲式单一腹主动脉阻断无血切肝术所致的平均动脉压变化，术中用药物等可以安全调控。曲式无血切肝法可获得满意的无血切肝效果；该法安全、简单易行，便于基层推广。

关键词: 曲式无血切肝术, 单一腹主动脉阻断, 肝脏切除术

Abstract:

Qu’s single abdominal aorta clamping for bloodless hepatectomy:a report of 8 cases        RAO Rong-sheng*, WEI Xiao-yong, CAI Jin-gen, et al.  *Department of Hepatic Surgery, Jiangxi Provincial Tumor Hospital, Nanchang 330029, China
Corresponding author: RAO Rong-sheng, E-mail:jxrrs@hotmail.com
Abstract    Objective    To report the clinical applied experience and to investigate the regulation of mean arterial pressure changes for Qu’s bloodless hepatectomy. Methods    Using single abdominal aortic cross-clamping for hepatectomy (QU’s bloodless hepatectomy), the 8 cases of liver tumors in different position were removed between March 2009 and June 2009 at Jiangxi Provincial Tumor Hospital. The blood pressue changes at diverse time points (such as the base, the pre- and post-clamping, the pre-and post-declamping) were monitored. The fluctuations of blood pressure were adjusted and controlled by giving administration during the operation. Results    The fluctuations of blood pressure caused by Qu’s bloodless hepatectomy could tolerate safely in all cases. The average blood loss during hepatic resection was 96 mL (40～200 mL). The average time of abdominal aortic cross-clamping was 12 min (7～15 min). There was no transfusion and any complications during and after operations in all cases. Conclusion    The changes of mean arterial pressure caused by Qu’s bloodless hepatectomy can been adjusted and controlled by giving administration during the operation. Qu’s bloodless hepatectomy can achieve the very satisfactory effect of bloodless hepatectomy in clinic, which is facilitating application and promation.

Key words: Qu&rsquo, s bloodless hepatectomy； single abdominal aorta clamping； hepatectomy