肝癌切除术患者并发症发生原因分析及处理预防措施

CAUSES OF COMPLICATIONS IN HEPATECTOMY PATIENTS AND PREVENTIVE MEASURES

目的:探究肝癌切除术患者并发症因素,总结并发症预防措施。方法:分析我院35例肝癌切除术后并发症患者发病因素,并在此基础上分析处理预防措施。结果:所选35例患者均术程顺利,出血量在450~2500mL之间,平均870.26±230.17mL。手术时间平均为206.71±50.31min。术后引流管拔管时间在2~17d之间,平均8.35±1.28d。患者血红蛋白136.18±19.49g/L、血清蛋白33.71±5.39g/L、谷丙转氨酶65.53±17.18U/L、谷草转氨酶52.39±7.39U/L。术后发生胆汁漏3例,腹水4例,切口感染4例,出血4例,其他并发症3例。结论:术中出血等是造成术后并发症的主要因素,可通过改良手术方法、术前调理等降低并发症发生率。

Objective：To explore the complications in patients with liver cancer resection factors,Summarize the prevention measures of complications.Methods：To analyze our 35 patients with complications after resection of liver cancer risk factors,and prevention measure is based on the analysis.Results：The selected 10 patients all routine operation smoothly,the bleeding between 450 ml to 2500 ml,average 870.26±230.17 mL Operations for an average of 206.71±50.31 min.Postoperative drainage tube decannulation time between 2~17 d,average8.35 ±1.28 d.Hemoglobin in patients with 136.18±19.49 g/L,serum protein 33.71±5.39 g/L,cereal third transaminase 65.53±17.18 U/L,aspertate aminotransferase 52.39±7.39 U/L.Postoperative bile leakage occurred in 3 cases,ascites in 4 cases,wound infection in 4 cases,bleeding in 4 cases and other complications in 3 cases.Conclusion：Intraoperative hemorrhage is the main factor of postoperative complications,such as through improved surgical approach,preoperative nursing and reduce the incidence of complications.