| 妇科疾病合并脂肪肝围术期处理78例分析 |
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| 引用本文： | 戴燕,刘超斌,林丹玫,郑惠英,洪新如.妇科疾病合并脂肪肝围术期处理78例分析[J].福建医科大学学报,2009,43(6):503-506. |
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| 作者姓名： | 戴燕 刘超斌 林丹玫 郑惠英 洪新如 |
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| 作者单位： | 1. 福建省妇幼保健院,妇产科,福州350001
2. 南京军区福州总医院,妇产科,福州350025 |
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| 摘 要： | 目的探讨妇科疾病合并脂肪肝的围术期处理,以减轻术后肝功能损害。方法回顾分析78例妇科手术合并脂肪肝患者的围术期处理和手术对术后肝功能等的影响。结果轻度60例、中度17例、重度1例,术后肝功能损害发生率,随脂肪肝程度加重、手术范围扩大、手术时间延长而显著升高;气管-静脉全麻术后肝功能损害发生率显著高于单纯腰硬麻醉。结论妇科疾病合并脂肪肝患者多伴肝功能不全或肝功能储备降低,手术可加重肝功能损害。术前客观评估肝功能,采取必要的保肝治疗,选择合适的手术和麻醉方式,可降低肝功能损害,提高手术安全性。
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| 关 键 词： | 脂肪肝 生殖器疾病 女(雌)性 手术期间 |
Perioperative Management of Patients with Gynecological Diseases Complicated by Fatty Liver: Analysis of 78 Cases |
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| DAI Yan,LIU Chaobin,LIN Danmei,ZHENG Huiying,HONG Xinru.Perioperative Management of Patients with Gynecological Diseases Complicated by Fatty Liver: Analysis of 78 Cases[J].Journal of Fujian Medical University,2009,43(6):503-506. |
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| Authors: | DAI Yan LIU Chaobin LIN Danmei ZHENG Huiying HONG Xinru |
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| Institution: | DAI Yan1,LIU Chaobin1,LIN Danmei1,ZHENG Huiying1,HONG Xinru2Department of Obstetrics and Gynecology,Fujian Provincial Maternal and Child Health Hospital,Fuzhou 350001,ChinaDepartment of Obstetrics and Gynecology,Fuzhou General Hospital,Nanjing Military Command of PLA,Fuzhou 350025,China |
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| Abstract: | Objective To explore appropriate perioperative management of patients with gynecological diseases complicated by fatty liver in order to alleviate possible postoperative hepatic impairment.Methods The effects of gynecological surgery and perioperative management were retrospectively analyzed on postoperative liver function in 78 cases that had been operated gynecologically. Results There were 60 cases with mild,17 with moderate,and 1 with severe fatty liver.The postoperative incidence of hepatic dysfunction... |
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| Keywords: | fatty liver genital diseases female intraoperative period |
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