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目的 降低腹膜后肿瘤切除术中的出血量 ,提高手术安全性。方法 回顾性分析了我院 1983年～ 1998年腹膜后肿瘤切除术中出血量在 3 0 0 0ml以上的患者 5 4例 ,其中出血量在 5 0 0 0ml以上者 2 2例 ,出血量在 80 0 0ml以上者 7例 ,有 2例出血量达 10 0 0 0ml。结果 17例术中出现低血容量性休克 ,其中 2例死亡。 5 2例渡过术中出血难关。结论 应重视术前对腹膜后肿瘤切除术中出血的估计和预防措施的准备 ,强调避免术中大出血和发生大出血时的处理方法。
Objective To reduce the amount of bleeding during retroperitoneal tumor resection and improve the safety of surgery. Methods We retrospectively analyzed 54 patients with blood volume above 300 ml in retroperitoneal tumor resection from 1983 to 1998 in our hospital. Among them, bleeding volume was more than 500 ml, 22 cases, and blood loss was 80. There were 7 cases with more than 0 ml, and 2 cases had a blood loss of 1.00 ml. Results Hypovolemia shock occurred in 17 cases, including 2 deaths. Fifty-two patients crossed the intraoperative bleeding difficulties. Conclusions Preoperative assessment of hemorrhage during preoperative retroperitoneal tumor resection and preparation of preventive measures should be emphasized. Emphasis should be placed on avoiding major intraoperative hemorrhage and management of major bleeding.