摘要
本文总结了我科自１９８８年以来手术后围手术期死亡的２１例原发性肝癌患者，男性１８例，女性３例。其中肝癌主瘤位于右肝１３例，左肝３例，肝门部１例，中肝（即左内和右前叶）４例。肿瘤平均直径为９ｃｍ，最大者为１４ｃｍ。２１例患者均有不同程度的肝硬变。手术方式以肝叶部分切除术为主。患者死亡相对集中的时间为术后７天内、术后７￣１４天和术后１４天以来。同时分析了术后不同时间患者死亡的原因。
Twenty-one patients (male 18 cases, femal 3 cases) died of primary liver cancer after operation are reviewed. The liver tumors were located in the right lobe (13 cases),left lobe(3 cases), middle position of liver(4 cases) and hepatic hilum(1 case). The average diameter of the tumors were 9. 0 cm. All the patients had suffered from liver cirrhosis and were operated on (most of them partial hepatectomy). The times of death were about 7 days, 7-14 days and 14 days later after operation. The data suggest the causes of death were different from the different stage after operation. The relations between partial hepatectomy and hepatic failure, and the liver cirrhosis and liver regeneration are discussed.
关键词
手术后
死亡原因
肝功能衰竭
肝肿瘤
Primary liver cancer Operation Cause of death Hepatic failure
