| 胃癌根治术中医源性脾损伤的防治 |
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| 引用本文： | 云生. 胃癌根治术中医源性脾损伤的防治[J]. 临床和实验医学杂志, 2011, 10(8): 585-586 |
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| 作者姓名： | 云生 |
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| 作者单位： | 苏州市木渎人民医院普外科,江苏,苏州,215101 |
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| 摘 要： | 目的探讨胃癌根治术中医源性脾损伤的原因和处理方法。方法回顾性分析1996年1月至2010年12月普外科医源性脾损伤的临床资料。结果在652例胃癌根治术中发生医源性脾损伤30例,脾损伤率4.6%。脾损伤按Pachter分级,I级8例、Ⅱ级17例、Ⅲ级5例。保脾成功25例,全脾切除5例。全组均痊愈出院。结论 胃癌根治术中医源性脾损伤的发生是常见并发症。良好的麻醉和细致的手术操作可以有效预防和减少医源性脾损伤的发生。
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| 关 键 词： | 医源性脾损伤 胃癌根治术 防治 |
Stomach cancer underwent TCM source splenic injury prevention and treatment |
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| YUN Sheng. Stomach cancer underwent TCM source splenic injury prevention and treatment[J]. Journal of Clinical and Experimental Medicine, 2011, 10(8): 585-586 |
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| Authors: | YUN Sheng |
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| Affiliation: | YUN Sheng.General surgery,The People＇s Hospital of Mudu,Suzhou,Jiangsu,215101,China. |
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| Abstract: | Objective To investigate the methods in prevention and treatment of iatrogenic splenic injury in radical surgery of gastric cancer.Methods A retrospective analysis clinical data of iatrogenic splenic injury from January 1996 to December 2010 in our hospital.Results in 652 cases of radical surgery of gastric cancer occurred in patients 30 cases of iatrogenic splenic injury,splenic injury rate of 4.6%.According to Pachter grade splenic injury,Ⅰgrade 8 cases,Ⅱ grade 17 cases,Ⅲ grade 5 cases.Spleen-preserving successful in 25 cases,full-splenectomy in 5 cases.All patients recovered and discharged.Conclusion latrogenic splenic injury caused by radical surgery of gastric cancer is a common complication.Good anesthesia and careful operation can effectively prevent and reduce the incidence of iatrogenic splenic injury. |
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| Keywords: | Radical gastrectomy Iatrogenic splenic injury Prevention and treatment |
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