通过对７２１例肝癌切除术患者的临床资料进行回顾性分析，发现肝癌患者合并门脉性肝硬变者高达８８３％，术后继发出血率（包括腹腔及消化道出血）为１１６５％，且术后继发性出血与患者的肝功能状态及是否有门脉高压密切相关。作者认为：加强术后病情观察，特别是对生命体征、腹腔双套管及胃管的观察与护理，保持引流管的通畅，是及时发现术后继发性出血的有效方法，对提高手术疗效，减少术后早期死亡率有重要作用 By retrospectively analyzing the clinical data of 721 patients undergoing hepatectomy, it was found that patients with hepatocellular carcinoma with portal cirrhosis were as high as 88. 3%, and post-surgical bleeding (including abdominal and gastrointestinal bleeding) was 11%. 65%, and postoperative secondary bleeding is closely related to the patient’s liver function status and whether there is portal hypertension. The author believes: to strengthen the observation of postoperative conditions, especially for vital signs, abdominal double sleeve and gastric tube observation and care, to maintain the patency of the drainage tube, is an effective method to detect postoperative secondary bleeding, to improve the efficacy of surgery , to reduce the early postoperative mortality has an important role