| 病毒性肝炎患者胆道手术可行性探讨 |
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| 引用本文： | 胡青,马颖,汪俊韬.病毒性肝炎患者胆道手术可行性探讨[J].北京医学,2002,24(4):259-261. |
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| 作者姓名： | 胡青 马颖 汪俊韬 |
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| 作者单位： | 北京佑安医院外科,100054 |
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| 摘 要： | 目的探讨病毒性肝炎患者实行胆道手术的可行性.方法对210例病毒性肝炎伴肝外胆道疾病患者的外科围手术期治疗情况进行回顾性分析.结果死亡率为3.8%(8/210),手术并发症发生率为19.5%,主要并发症为术中出血和术后肝功能衰竭.结论病毒性肝炎患者的胆道手术是可行的,术前需要正确评价肝功能;围手术期强调持续保护肝脏治疗、调整代谢系统、全身支持、预防感染等综合治疗.要求术者对胆道手术比较熟练,手术方式简单有效.
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| 关 键 词： | 病毒性肝炎 手术 肝功能衰竭 |
To explore the possibility of cholangio-operation in the patients with virus hepatitis |
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| Hu Qing,Ma Ying,Wang Juntao,et al.To explore the possibility of cholangio-operation in the patients with virus hepatitis[J].Beijing Medical Journal,2002,24(4):259-261. |
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| Authors: | Hu Qing Ma Ying Wang Juntao |
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| Abstract: | Objective To explore the possibility of cholangio operation in the patients with virus hepatitis.Methods 210 cases of virus hepatitis with extrahepatic biliary diseases were analysed retrospectively in the perioperative duration.Results Mortality of operation was 3.8%(8/210) and the complication rate was 19.5% (41/210),manifestating mainly blooding in the operation and liver function failure after operation.Conclusions It is possible to perform cholangio operation in the patients with virus hepatitis.It is extremely essential to evaluate liver function before operation.It must be emphasized in liver protection therapy,metabolism regulation,system supporting and infections prevention during peri operation. |
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| Keywords: | Virus hepatitis Operation Liver function failure |
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