| 腹腔镜胆囊切除术中出血的处理 |
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| 引用本文： | 陆劲松,周东平. 腹腔镜胆囊切除术中出血的处理[J]. 航空航天医药, 2005, 16(4): 11-12 |
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| 作者姓名： | 陆劲松 周东平 |
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| 作者单位： | 561000,贵州省安顺市302医院 |
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| 摘 要： | 目的：总结腹腔镜胆囊切除术中出血的处理体会.方法：1999年3月至2003年11月收治实施腹腔镜胆囊切除术术中有52例出现术中出血.结果：胆囊动脉出血在压迫出血点视野清晰时上钛夹夹闭止血,肝床出血在用电弧光烧灼止血无效后用大纱布,或用热盐水肾上腺纱布压迫止血.结论：腹腔镜胆囊切除术术中胆囊动脉出血可以用钛夹止血,肝床顽固性出血可以用纱布压迫止血,术前超声检查可以明确肝中静脉较大属支是否临近胆囊床,术中可加以避免损伤.
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| 关 键 词： | 腹腔镜胆囊切除术 出血 处理 |
| 收稿时间： | 2004-02-01 |
| 修稿时间： | 2004-02-01 |
Treatment enperiences of hemorrhage during laparoscopic cholecystecomy |
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| Lu Jinsong,Zhou Dongping. Treatment enperiences of hemorrhage during laparoscopic cholecystecomy[J]. Aerospace Medicine, 2005, 16(4): 11-12 |
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| Authors: | Lu Jinsong Zhou Dongping |
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| Affiliation: | Anshun 302 hospital Guizhou, 561000 |
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| Abstract: | Objective:To summarize the treatment experiences of hemorrhage during laparoscopic cholecystecomy.(LC)Methods:52 cases among the patients treated with LC from March 1999 to November 2003 occurred hemorrhage.Results:Hemorrhage of cystic attery could be halted by titanium folder if the bleeding dot was clear after pressure.Hemorrhage of cystic attery could be done by pressing big gauzes or adrenaline gauzes if coagulation was invalid.Conclusion:Hemorrhage during LC might be controlled by titanium folder and rigid hemorrhage of liver bed might be done by oppressing gauze. Preoperative ultrasonography will identify the large braches of the gall bladder bed , and it can be avoid being injured durng LC.[ |
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| Keywords: | laparoscopic cholecystectomy hemorrhage treatment |
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