摘要
目的探讨肝硬化合并胆石症的围手术期治疗。方法回顾性总结1994年～2004年收治的54例病人的手术方法、疗效及并发症的防治。结果术中大出血死亡1例;术后应激性溃疡出血2例,胆道出血2例,积极止血处理后痊愈;胆瘘2例,经引流治愈;胸腔积液5例,均随炎症消退消失;肝肾综合征2例,积极保肝治疗后痊愈;切口感染3例,积极换药后痊愈。53例恢复良好出院,随访1～5年无复发。结论严格掌握手术适应证,术前积极纠正肝功能,加强营养支持,简化手术方法,选择个体化手术方式,将提高治愈率、减少并发症及降低病死率。
[Objective ] To study the Perioperative management of gallstones in liver cirrhotic patients. [Methotis] Review the surgical operation method and the curative effect and the prevention and cure of the complications of 54 patients between 1994 and 2004. [Results] 1 case bleed and died in the operation; 2 cases of irritable-ulcer and bleed, 2 cases of hemobilia postoperation, recovered after stopping bleeding actively; 2 cases of biliary fistula were cured by drainage; 5 cases of chest accumulated of liquid were faded away with the disappearance of phlegmasia; 2 cases of liver kidney syndrome recovered by protecting the liver function actively; 3 cases of infected incision were cured by toileting actively. 53 examples were cured and did not relapse after visiting 1-5 years. [Conclusion] We should control the surgical operation indication strictly, rectifies the liver function actively before operation, strengthen the nourishment support, make the surgical operation method simple and valid, choose the surgical operation method of the individuation to raise the cure rate and reduce the complications and lower the death rate of illness.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第20期3134-3136,共3页
China Journal of Modern Medicine
关键词
肝硬化
胆石症
围手术期治疗
外科治疗
liver cirrhosis
gallstone
perioperative treatment
surgical treatment
