肝癌患者的围手术期处理

为了解肝癌患者围手术期处理与预后关系，收集于手术治疗的肝癌患者６５例，术后死亡１３例，术前肝功能储备Ａ级者术后死亡率６．５％，而Ｂ级和Ｃ级者在３０％以上，术前有合并症者３０例，术后并发症发生率７０％，死亡率４０％。术前无合并症者３５例，术后并发症发生率２９％，死亡率２．９％，手术前后肝功能和术后失血量与预后显著相关，认为手术前后改善肝功能状况，治疗各种合并症，术中控制出血，限制人肝血流阻断时间在５

Perioperative treatment for hepatic cancer

Operations were performed on 65 cases of hepatic cancers. 13 patients were dead. Thepostoperative mortality was 6. 5% from the patients whose preoperative hepatic function states wereGrade A ; but that was over 30% from those with Grade B and C. The postoperative complications rateand mortality were 70% and 40% for 30 cases with preoperative complications, but the relevant rateswere 29% and 2. 9% for 35 cases without preoperative complications. Intraoperative bleeding was evidently associated with prognosis. So it is very important to conduct perioperative treatment for improvingpatients conditions.