恶性梗阻性黄疸患者围手术期处理及并发症之探讨  

Preoperative and postoperative treatment in patients with obstructive jaundice with malignant obstructive jaundice and postoperative complication

作　　者：段群欢[1] 桂双元[1] 卿伯华[1] 

机构地区：[1]湖南永州市人民医院肿瘤科,湖南永州425006

出　　处：《中国现代医学杂志》2008年第2期222-224,共3页China Journal of Modern Medicine

摘　　要：目的探讨恶性梗阻性黄胆围手术期处理对术后并发症的影响。方法对1997年7月～2006年12月期间128例恶性梗阻性黄疸患者进行回顾分析,并对术后并发症发生原因和采取治疗方法进行总结。结果完全性胆道引流手术和部分胆道引流手术对肝功能(GPT、GOT)的改善情况差异有显著性(P<0.05)。结论加强围手术期处理可提高恶性梗阻性黄疸患者的手术耐受性,降低术后并发症。[Objective] To evaluate the effect of per-operative management for complications in patients with malignant obstructive jaundice. [Methods] A retrospective analysis was made on 128 patients with malignant obstructive jaundice admitted from 1997.7 to 2006.12 in order to evaluate the reasons of postoperative complications and management. [Results] Total and apart of bile duct drainage have different effect on the liver function （P 〈0.05）. [Conclusion] In order to enhance the operative to the patients and decrease occurrence of complications, it is important to intensify the per-operative management.

关 键 词：梗阻性黄疸 内/外引流手术 术后并发症 

分 类 号：R619.9[医药卫生—外科学]