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肝切除术后凝血功能障碍大出血的防治体会 被引量:1

Prevention and treatment of severe hemorrhage from coagulation disorders after hepatectomy.
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摘要 目的 探讨肝切除术后凝血功能障碍导致大出血的原因和防治方法。方法 以术后出血量超过2500ml为大出血标准,对6例巨大肝脏肿瘤切除术后早期出现凝血功能障碍性大出血患者采用纠正凝血功能紊乱为主的综合治疗方法,配合手术巩固止血。结果 以纠正凝血功能紊乱为主的综合治疗3例,均治愈;配合手术治疗3例,治愈2例,死亡1例。结论 肝脏手术后,凝血功能障碍导致的大出血重在预防,再次手术探查要慎重,手术时机要准确,以手术巩固止血和纠正凝血功能紊乱为主的综合治疗可取得较好疗效,如果只注重手术止血,常事与愿违。 Objective To explore the causes of severe hemorrhage from coagulation disorders after hepatectomy and ways for prevention and treatment. Methods The severe hemorrhage was defined as the amount of bleeding over 2500 ml. A retrospective analysis was made on 6 cases with serious hemorrhage from coagulation disorders following hepatectomy of the huge liver tumors. A combined therapy was adopted to mainly correct the coagulation disorder and surgery used to assist hemostasis. Results Three cases were treated with the combined therapy and all cured. The other cases were treated and assisted with surgery and 2 cured and 1 died. Conclusion Prevent severe hemorrhage from coagulation disorders should be made after hepatectomy. The combined therapy of correction of the coagulation disorder, assistant hemostasis and secondary surgery if necessary should be applied.
出处 《中国综合临床》 北大核心 2007年第3期262-264,共3页 Clinical Medicine of China
关键词 肝切除术 出血 凝血功能 I-Iepatectomy Hemorrhage Coagulation
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  • 1周芸,徐以南,刘健.原位肝移植手术病人凝血及抗凝血指标的动态观察[J].临床检验杂志,2006,24(1):60-60. 被引量:5
  • 2Kaneko J, Sugawara Y, Tamura S et al . Coagulation and fibrinolytic profiles and appropriate use of heparin after living- donor liver transplantation. Clin Transplant, 2005,19 (6) : 804.
  • 3Tian MG, Tso WK, Lo CM et al . Treatment of hepatic artery thrombosis after orthotopic liver tranplantation. Asian J surg , 2004:27(3) :213.
  • 4Taniai N, Onda M, Tajiri T et al . Anticoagulate therapy in living - related liver transplantation. Transplant proc, 2002,34 (7) :2788.
  • 5杨瑞宁 江淑芳 黄秋琳 等.肝移植受体移植前后6项凝血指标的变化.临床检验杂志,2006,24(4):313-314.

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