肝移植术后早期腹腔内出血的原因分析及其防治  

Prevention of early intra-abdominal hemorrhage after orthotopic liver transplantation

作　　者：王正昕[1] 傅志仁[1] 丁国善[1] 付宏[1] 马钧[1] 张建军[1] 李先兴[1] 倪之嘉[1] 郭闻渊[1] 张明[1] 施晓敏[1] 曹晓伟[1] 

机构地区：[1]第二军医大学长征医院器官移植中心肝移植部,上海200003

出　　处：《第二军医大学学报》2003年第8期920-921,共2页Academic Journal of Second Military Medical University

摘　　要：回顾性分析 6 7例原位肝移植的临床资料 ,其中 4例术后早期出现腹腔内出血 ,2例为肝动脉吻合口出血 ,1例为受体肝下腔静脉壁处出血 ,1例为受体右肾上腺处创面出血 ,均正确诊断、及时再次剖腹探查并止血成功。提示肝移植术后早期腹腔内出血多由于外科因素所致 ,外科技术的改进。The clinical data of 67 patients underwent orthotopic liver transplantation, including 4 cases of early intra abdominal hemorrhage after orthotopic liver transplantation, were analyzed retrospectively.Anastomotic liver artery hemorrhage was found in 2 cases, hemorrhage of IVC in 1 case and hemorrhage of right adrenal gland in 1 case. All the 4 patients were correctly dignosed and successfully treated by operation in time. It suggests that the early intra abdominal hemorrhage after orthotopic liver transplantation is mostly due to surgical technique. The improvement of surgical technique,correct diagnosis and timely operation are very important for the treatment of intra abdominal hemorrhage.

关 键 词：肝移植 术后 早期腹腔内出血 原因分析 预防 治疗 

分 类 号：R657.3[医药卫生—外科学] R619.1[医药卫生—临床医学]