| 腹腔镜胆囊切除术中出血原因的分析与处理 |
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| 引用本文： | 李家福,夏春咸,苗永昌,李国宾.腹腔镜胆囊切除术中出血原因的分析与处理[J].腹腔镜外科杂志,2005,10(1):47-48. |
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| 作者姓名： | 李家福 夏春咸 苗永昌 李国宾 |
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| 作者单位： | 连云港市赣榆县瑞慈医院,江苏,连云港,222100;连云港市第二人民医院 |
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| 摘 要： | 目的 :探讨腹腔镜胆囊切除术 (LC)术中出血的原因与处理方法。方法 :分析 14例LC术中出血患者的临床资料 ,总结LC术中出血的原因与处理方法。结果 :LC术中出血的原因有主观的和客观的因素 ,14例患者中 3例中转开腹止血 ,余经重新施夹 ,电凝 ,缝扎 ,止血海绵填塞压迫 ,纱布压迫止血 ,肝镰状韧带悬吊等方法 ,成功地控制了出血。结论 :术中出血是LC术中严重且最常见的并发症 ,及时有效的处理可避免严重后果。
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| 关 键 词： | 胆囊切除术 腹腔镜 出血 手术 |
| 文章编号： | 1009-6612(2005)01-0047-02 |
| 修稿时间： | 2004年3月16日 |
Hemorrhage in laparoscopic cholecystectomy:the cause and treatment |
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| LI Jia-fu ,XIA Chun-xian ,MIAO Yong-chang ,et al.Hemorrhage in laparoscopic cholecystectomy:the cause and treatment[J].Journal of Laparoscopic Surgery,2005,10(1):47-48. |
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| Authors: | LI Jia-fu XIA Chun-xian MIAO Yong-chang |
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| Institution: | LI Jia-fu 1,XIA Chun-xian 2,MIAO Yong-chang 2,et al |
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| Abstract: | Objective:To explore the cause and treatment of hemorrhage in laparoscopic cholecystectomy(LC).Methods:The clinical data of14cases of LC were analyzed to summarize the causes and treatment of hemorrhage.Re-sults:The causes of hemorrhage in LC included subjective and objective elements.All of themwere successfully hemostat-ic in different ways including reclamping,coagulation,suturing,packing hemostasis and suspension of falciform ligament of liver.Conclusions:Hemorrhage is the serious and most common complication in LC,but it can be avoided through an im-mediate and effective process. |
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| Keywords: | Cholecystectomy laparoscopy Hemorrhage surgical |
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