曲式单一腹主动脉阻断无血切肝术8例报告  

Qu's single abdominal aorta clamping for bloodless hepatectomy:a report of 8 cases

作　　者：饶荣生[1] 魏小勇[1] 蔡锦根[2] 徐国辉[1] 杨小敏[2] 温时来[1] 

机构地区：[1]江西省肿瘤医院肝脏外科,江西南昌330029 [2]江西省肿瘤医院麻醉科,江西南昌330029

出　　处：《中国实用外科杂志》2010年第6期490-493,共4页Chinese Journal of Practical Surgery

基　　金：江西省科技支撑计划项目(2009BSB11001)

摘　　要：目的报告曲式单一腹主动脉阻断无血切肝术的临床应用体会,探讨术中平均动脉压变化规律。方法 2009年3～6月江西省肿瘤医院肝脏外科采用曲式单一腹主动脉阻断无血切肝术,切除8例不同部位的肝肿瘤。术中监测病人基础血压与阻断前后及撤钳前后各时间点的血压变化,通过术中给药等方法对血压波动进行调控。结果 8例均安全耐受曲式无血切肝术所导致的血压波动;术中切肝平均出血量96(40～200)mL;腹主动脉阻断平均时间12(7～15)min;所有病人术中术后无需输血,且未出现任何相关并发症。结论曲式单一腹主动脉阻断无血切肝术所致的平均动脉压变化,术中用药物等可以安全调控。曲式无血切肝法可获得满意的无血切肝效果;该法安全、简单易行,便于基层推广。Objective To report the clinical applied experience and to investigate the regulation of mean arterial pressure changes for Qu＇ s bloodless hepatectomy. Methods Using single abdominal aortic cross-clamping for hepatectomy （QU＇ s bloodless hepatectomy）, the 8 cases of liver tumors in different position were removed between March 2009 and June 2009 at Jiangxi Provincial Tumor Hospital. The blood pressue changes at diverse time points （such as the base, the pre- and post-clamping, the pre-and post-declamping） were monitored. The fluctuations of blood pressure were adjusted and controlled by giving administration during the operation. Results The fluctuations of blood pressure caused by Qu＇ s bloodless hepatectomy could tolerate safely in all cases. The average blood loss during hepatic resection was 96 mL （40 - 200 mL）. The average time of abdominal aortic cross-clamping was 12 rain （7 - 15 rain）. There was no transfusion and any complications during and after operations in all cases. Conclusion The changes of mean arterial pressure caused by Qu＇ s bloodless hepatectomy can been adjusted and controlled by giving administration during the operation. Qu＇ s bloodless hepateetomy can achieve the very satisfactory effect of bloodless hepatectomy in clinic, which is facilitating application and promation.

关 键 词：曲式无血切肝术 单一腹主动脉阻断 肝脏切除术 

分 类 号：R6[医药卫生—外科学]