摘要
目的:总结腹腔镜胆囊切除术中出血的处理体会。方法:1999年3月至2003年11月收治实施腹腔镜胆囊切除术术中有52例出现术中出血。结果:胆囊动脉出血在压迫出血点视野清晰时上钛夹夹闭止血,肝床出血在用电弧光烧灼止血无效后用大纱布,或用热盐水肾上腺纱布压迫止血。结论:腹腔镜胆囊切除术术中胆囊动脉出血可以用钛夹止血,肝床顽固性出血可以用纱布压迫止血,术前超声检查可以明确肝中静脉较大属支是否临近胆囊床,术中可加以避免损伤。
Objective： To summarize the treatment experiences of hemorrhage during laparoseopie eholeeysteeomy. （LC）Methods：52 eases among the patients treated with LC from March 1999 to November 2003 occurred hemorrhage. Results： Hemorrhage of cystic attery could be halted by titanium folder ff the bleeding dot was clear after pressure. Hemorrhage of cystic attery could be done by pressing big gauzes or adrenaline gauzes ff coagulation was invalid. Concluston ： Homorrhage during LC might be controlled by titanium folder and rigid bemorrhage of liver bed might be done by oppressing gauze. Preoperative ultrasonography will identify the large braches of the gall hladder , and it can be avoid being injured dumg LC.
出处
《航空航天医药》
2005年第4期11-12,共2页
Aerospace Medicine
关键词
腹腔镜胆囊切除术
出血
处理
laparoscopic cholecystectomy
hemorrhage
treatment
