摘要
作者总结了１９８９年～１９９４年对４５例恶性梗阻性黄疸患者行根治性手术或单纯内／外引流手术的经验。术后发生肾功能衰竭，胃肠道出血，伤口愈合不良等并发症。且肾衰及胃肠道出血与高胆红素血症相关。此外，部分患者合并有营养不良，血糖升高及脂代谢异常，直接影响着伤口愈合率。低葡萄糖热卡的营养支持有助于改善病人的营养状况。另外，对于严重胆道梗阻，近期不能手术或合并化脓性胆管炎患者术前应恰当地行胆道减压引流，并配合全身支持治疗。
Abstract From 1989 to 1994, 45 patients with malignant obstructive jaundice underwent surgery. Postoperative renal failure developed in 6 patients (13. 3%), with a mortality of 83.3%; digestive tract bleeding in 4(8. 9%), mortality of 75% ; poor wound healing in 4(8. 9%). Hyperbilirubinemia and malnutrition especially hypoalbuminemia were found to be closely correlated with the aforementioned complications. Preoperative nutritional support and bile duct drainage in some poor risk patients may help in reducing complications and mortality.
出处
《普外临床》
CSCD
1996年第6期358-360,共3页
