摘要
目的探讨血清胆红素的增高对梗阻性黄疸(梗黄)手术治疗的影响。方法总结该院收治的43例梗阻性黄疸住院病人的临床资料,分析血清胆红素增高对梗阻性黄疸手术的效果影响,提示在围手术期应注意的问题。结果良性梗黄组29例术后半月,死亡1例,恶性梗黄组14例术后半月死亡4例,全组死亡率11.6%,死亡原因为消化道出血、肝功能衰竭和肾功能衰竭,发生原因与围手术期处理不当或恶性梗黄病人手术贪大求全有关.结论对于梗阻性黄疸血清胆红素大于342μmol/L的患者围手术期应注意改善肝功能、凝血功能和纠正低蛋白血症等。手术术式的选择力求简单有效,去除病灶,解除梗阻,通畅引流,同时需加强监护。
[Objective] To investgate the value of increasing serum bilirubin in obstructive jaundice by surgical management. [Methods] The clinical date of 43 obstructive jaundice patients and the effect of increasing serum bilirubin in obstructive jaundice by surgical management were analyzed reteospectivy and the questions during perioperation were noticed. [Result] 1 of 29 in groups of benign obstructive jaundice patients and 4 of 14 in groups of malignant obstructive jaundice patients died half month after surgery. 11.6% patients died for gastrointestinal bleedings, hepatic failure and renal failure due to insufficient treatment during perioperative and impractical expectation of malignant obstructive jaundice patients. [Conclusion] In obstructive jaundice patients with increasing serum bilirubin （342 μmol/L）, liver function, hypoproteinemia and so on should be improved during perioperation. The mode of surgical management should be simple and effective, remove pathological tissue, release from obstruction and keep expedite pipe, and also should strengthen nursing.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第16期2533-2535,共3页
China Journal of Modern Medicine
关键词
血清胆红素
梗阻性黄疸
手术价值
serum bilirubin
obstructive jaundice
surgical value
