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目的 了解原发性肝癌病人行肝部分切除术后早期腹水形成的原因。方法 通过对 6 9例原发性肝癌病人的临床资料回顾性研究 ,分析了术前、术中及术后有关指标 ,探讨其腹水形成的原因。结果 腹水形成的术前因素主要与血清白蛋白、前白蛋白含量、肝功能的Child分级及肝硬化类型等有关 ;术中与肝门阻断时间、术中出血量、术中输血量、右肝韧带的离断等有关 ;术后主要与腹腔引流管的拔除时间有关。结论 为减少术后早期腹水形成 ,主要是术前有良好的肝功能储备 ,尽可能缩短手术时间 ,减少不必要的分离 ,尽早拔除腹腔引流管。
Objective To understand the causes of early ascites after partial hepatectomy in patients with primary liver cancer. Methods The clinical data of 69 patients with primary hepatocellular carcinoma were retrospectively studied. The preoperative, intraoperative and postoperative indexes were analyzed to investigate the causes of ascites formation. Results The preoperative factors of formation of ascites were mainly related to serum albumin, prealbumin, Child’s grading of liver function and cirrhosis type. Intraoperative and hepatic portal vein occlusion time, intraoperative blood loss, intraoperative blood transfusion, Hepatic ligament disconnection and other related; after surgery and abdominal drainage tube removal time. Conclusion To reduce the postoperative early ascites formation, the main preoperative has a good liver function reserve, as far as possible to shorten the operation time, reduce unnecessary separation, as soon as possible removal of the abdominal drainage tube.