腹膜后肿瘤切除术中大出血的预防和处理  

The prevention and management of massive bleeding during resection of retroperitoneal tumour

作　　者：唐云[1] 宋少柏[1] 梁发启[1] 蒋彦永[1] 

机构地区：[1]解放军总医院普外科,北京100853

出　　处：《中华普通外科杂志》2000年第11期689-690,共2页Chinese Journal of General Surgery

摘　　要：目的　降低腹膜后肿瘤切除术中的出血量 ,提高手术安全性。方法　回顾性分析了我院 1983年～ 1998年腹膜后肿瘤切除术中出血量在 3 0 0 0ml以上的患者 5 4例 ,其中出血量在 5 0 0 0ml以上者 2 2例 ,出血量在 80 0 0ml以上者 7例 ,有 2例出血量达 10 0 0 0ml。结果　 17例术中出现低血容量性休克 ,其中 2例死亡。 5 2例渡过术中出血难关。结论　应重视术前对腹膜后肿瘤切除术中出血的估计和预防措施的准备 ,强调避免术中大出血和发生大出血时的处理方法。Objective To improve the safety and decrease the blood loss during resection of retroperitoneal tumour (RRT).[WT5”HZ]Method [WT5”BZ]We analysed retrospectively 54 patients whose blood loss were over 3?000?ml during RRT in our hospital from 1983 to 1998.The blood loss was over 5?000?ml each in 22 patients,and over 8?000?ml each in 7 patients, the maximum blood loss was 10?000?ml.[WT5”HZ]Result [WT5”BZ]Among the 54 patients whose blood loss were over 3?000?ml and up during RRT, 17 sank into shock and 2 of them died.[WT5”HZ]Conclusion [WT5”BZ]The preoperative evaluation and preparation are important to operative safety.We emphasize intraoperative management of massive bleeding during RRT.

关 键 词：腹膜后肿瘤 出血 手术中并发症 预防 处理 

分 类 号：R735.406[医药卫生—肿瘤] R619.1[医药卫生—临床医学]