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1990年6月~1997年2月我们采用常温下一次性肝门阻断法行肝癌肝切除手术113例,全组肝硬化伴发率为94/113,肝功能分级ChildA、B级,手术肝门阻断时间6~15分钟,我们提倡肝门阻断时间最好不超过15分钟,肝热缺血的处理,主要是阻断前10分钟静推10mg地塞米松,阻断解除后静推20mg速尿,持续低流量吸氧等的应用。全组术后并发症:胸水14/113,膈下积液7/113,住院死亡2/113,低于文献报道
From June 1990 to February 1997, we used a one-time hepatic portal occlusion method at room temperature to perform hepatectomy for liver cancer in 113 patients. The overall rate of cirrhosis was 94/113, and liver function grades were Child A and B grades. The blocking time of the door is 6 to 15 minutes. We recommend that the time for the hepatic hilum obstruction should not exceed 15 minutes. The treatment of hepatic warm ischemia is mainly to block 10 mg of dexamethasone in the first 10 minutes and block it after it is lifted. 20mg furosemide, continuous low flow oxygen application. Postoperative complications in the whole group: pleural effusion 14/113, axillary effusion 7/113, hospitalization 2/113, lower than the literature