损伤控制性手术理念在肝癌破裂出血患者中的应用  

Damage control surgery for rupture of hepatocellular carcinoma

作　　者：刘雄友[1] 高德山[1] 张玲[1] 高新华[1] 杨晓静[1] 

机构地区：[1]河南省濮阳市人民医院普外科,濮阳457000

出　　处：《临床医学》2013年第9期19-20,共2页Clinical Medicine

摘　　要：目的探讨损伤控制理念治疗肝癌破裂出血的临床价值。方法回顾性分析2009年11月至2012年6月采用损伤控制理念治疗肝癌破裂出血11例患者的临床资料。结果应用损伤控制理念治疗,11例患者出血均得到有效控制,病情稳定后9例患者接受再次确定性手术,均存活;1例患者病灶巨大,伴严重肝硬化,最后死于肝功能衰竭;1例患者肝内多发病灶,未能手术。结论损伤控制理念联合确定性手术是治疗肝癌破裂出血的一种安全、有效的方法。Objective To investigate the effect of damage control surgery（DCS） on rupture of hepatocellular carcinoma.Methods A retrospective analysis was made on the clinical data of 11 patients with rupture of hepatocellular carcinoma treated by DCS from November 2009 to June 2012.Results DCS was performed in all of the 11 patients.Successful hemostasis was achieved in all of the 11 patients.One patient died of liver failure.Nine patients were performed with reoperations after resuscitaton.Conclusion DCS associated reoperations methods is a relatively safe and effective management for rupture of hepatocellular carcinoma.

关 键 词：损伤控制性手术 肝癌 破裂 

分 类 号：R735.7[医药卫生—肿瘤]