门静脉高压症患者脾切除术后常见并发症的分析  

Analysis of postoperative complications after splenectomy in patients with portal hypentension

作　　者：潘定宇[1] 毛晓雯[1] 熊良昆[1] 李昌盛[1] 孔雕雕[1] 刘志苏[1] 

机构地区：[1]武汉大学中南医院普外科,430071

出　　处：《腹部外科》2013年第1期49-51,共3页Journal of Abdominal Surgery

摘　　要：目的总结门静脉高压症患者脾切除术后常见并发症的防治经验。方法对2006-2011年256例施行脾切除术的门静脉高压症患者资料进行回顾性分析。结果256例脾切除术后1个月内出现并发症共38例（14．84％），其中以腹腔内大出血、腹腔积液及门静脉血栓形成的发生率较高。死亡7例（2．73％），死亡原因为腹腔内大出血、肝衰竭及多器官功能衰竭。结论有效的围手术期处理对于降低脾切除术后并发症发生率及死亡率极为重要。Objective To summarize the prophylaxis and treatment of postoperative complica- tions after splenectomy in patients with portal hypentensioru Methods We reviewed the results of 256 patients with portal hypentension who underwent the splenectomy from 2006 to 2011. Results Post- operative complications occurred in 38 of all the patients （14. 84%）. The top three of the complications were intraabdominal massive bleeding, massive ascites and portal vein thrombosis. The operative mortality was 2. 73% （7/256）. The main causes of death included intraabdominal massive bleeding, liver failure and multiple organ dysfunction syndrome. Conclusion Effectively perioperative management is very important for reducing the incidence of complications and the mortality.

关 键 词：高血压 门静脉 脾切除术 手术后并发症 围手术期处理 

分 类 号：R657.34[医药卫生—外科学]