肝癌切除术中大出血的处理

Management of burst bleeding in liver cancer resection.

目的探讨肝癌切除术中并发大出血的原因、处理体会和预防措施。方法对肝癌切除术中27例术中出血超过1000ml的患者出血原因、部位及处理方法进行分析。结果出血原因主要与肝血管损伤、肝创面渗血、术中显露差、术野粘连、凝血功能差等因素有关。结论肝癌切除术应重视适应证选择,熟练手术操作技术,重视应急措施及预防措施。

Objective To explore the causes, management and prevention methods of burst bleeding in liver cancer resection. Methods The burst bleeding causes （ 〉 1000ml） ,site and management of 27 cases of liver cancer resection were analyzed. Results Common causes of bleeding were the damage of major Vessels, the blood leakage of resection surface, the bad exposure of surgical field, the severe adhesion and the bad coagulation. Conclusion The selection of surgical indication,the precised surgical technique and the emergent management as well as preventive measures should be taken into consideration when liver cancer resection be performed.