中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (08): 647-649.

• 专题笔谈 • 上一篇    下一篇

复杂肝切除手术后常见并发症的预防及处理

闫    军,别    平   

  1. 第三军医大学西南医院肝胆外科研究所,重庆400038
  • 出版日期:2010-08-01 发布日期:2010-08-02

  • Online:2010-08-01 Published:2010-08-02

摘要:

复杂肝切除术具有技术难度大,风险性高,术后并发症发生率高的特点。重视术前肝储备功能的评估及准备,术中根据个体情况采用不同的肝脏血流阻断方法,维护剩余肝脏的血供及引流,防治感染、病毒复制、电解质失衡等诱因是降低术后肝功能衰竭发生率的有效措施;肝断面的恰当处理及通畅引流是胆漏与膈下感染的有效防治手段;术中减少出血量,及时补充凝血因子可防治术后凝血功能障碍。

关键词: 肝切除术, 肝功能衰竭

Abstract:

Prevention and treatment for common complications of complex liver resection        YAN Jun, BIE Ping. Institute of Hepatopancreatobiliary Surgery,Southwest Hospital,the Third Military Medical University,Chongqing400038,China
Abstract    Complex liver resection is technically difficult, high risk and the characteristics of the high incidence of postoperative complications. Paying attention to the preoperative evaluation of liver functional reserve and the preparation for surgery, using different methods of liver vascular occlusion according to the individual, maintenance of the remaining liver blood supply and drainage, control of infection, viral replication, electrolyte imbalance and other incentives are the effective measures to reduce the incidence of liver failure. The proper treatment of liver sections and unobstructed drainage are effective means of prevention of bile leakage and subphrenic infection. Reducing blood loss and timely replenishment of coagulation factor can prevent postoperative coagulation disorders.

Key words: hepatectomy, liver failure