摘要
目的探讨肝硬化患者腹腔镜胆石症胆囊切除术出血的预防及其处理。方法回顾性分析46例肝硬化患者腹腔镜胆囊切除术的出血情况及处理方法。结果本组46例患者15例有不同程度的出血,量从20～150mL不等,其中1例中转开腹胆囊切除术,经对症处理均痊愈出院。结论掌握适应证,充分术前准备,术中正确止血,腹腔镜手术能够成为肝硬化胆石症患者的优先考虑术式。
Objective To explore the prevention and management of the hemorrhage in laparoscopic choleeystectomy with live cirrhosis and cholelithiasis. Methods Reviewed the clinical data of 46 cases with liver cirrhosis were treated by LC. Results 15 cases had hemorrhage in LC to various degrees,the loss of blood range form 20 - 150mL, 1 case turn to open choledocholithotomy. All patients were cured. Conclusion When rensongahly selected,adequately preparing, reliable hemostasis is the guarantee of the prevention of hemorrhage in LC with live cirrhosis. We can firsdy choose LC with live cirrhosis and cholelithiasis.
出处
《中国现代医生》
2008年第29期52-53,共2页
China Modern Doctor
关键词
胆石症
肝硬化
腹腔镜
切除
出血
Liver cirrhosis
Laparoscopic
Gallbladder
Excision
Hemorrhage
