摘要
肝衰竭是肝切除术后严重并发症之一,术前患者自身因素,实验室指标,肝脏合并疾病,手术因素,门静脉高压症,药物因素都是肝衰竭的相关影响因素。笔者通过总结影响肝切除术后肝衰竭发生的危险因素,分析现有肝功能评分模型的评价效果,并根据评分指标探讨行肝切除术患者的围术期管理策略,以减少肝切除术后肝衰竭发生率,改善患者预后,提高长期生存率。
Hepatic failure is one of serious complications after hepatectomy.The individual′s preoperative physical health status,laboratory indicators,liver diseases,surgical factors,portal hypertension,and drug factors are all risk factors for hepatic failure.The author summarizes the risk factors for post hepatectomy liver failure(PHLF),analyzes the existing liver function scoring models,proposes the perioperative management strategy for patients undergoing hepatectomy according to the score index,so as to reduce the incidence of PHLF,improve the prognosis and long-term survival of patients.
作者
徐岩
李江斌
胡小玲
董瑞
Xu Yan;Li Jiangbin;Hu Xiaoling;Dong Rui(Department of General Surgery,the Second Affiliated Hospital,Air Force Medical University,Xi′an 710000,China;Department of Neurosurgery,the Southern Theater Air Force Hospital,Guangzhou 510000,China)
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2020年第2期220-224,共5页
Chinese Journal of Digestive Surgery
基金
陕西省自然科学基础研究计划(2015JM8420)
第四军医大学唐都医院科技创新发展基金(2015LCYJ010)
第四军医大学唐都医院科技创新发展基金重大项目(2017LCYJ003)。
关键词
肝脏疾病
肝切除术
肝衰竭
并发症
围术期管理
评分模型
Hepatic diseases
Hepatectomy
Liver failure
Complications
Perioperative management
Scoring model
