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一、术前肝功能评价和手术适应症正确地评价患者术前的肝功能,且以此决定手术的适应症是防还术后肝功能不全最为必要的。首先,心了解病史和当时的临床表现,其次,是检查肝功能。但是肝脏具有极为复杂、多方面的功能,而目前施行的一般肝功能检查(血清蛋白及分类、血清直接、间接胆红质、GOT、GPT、ALP、血清浊度试验、ICG、球胆红质、尿胆素原、出血及凝血系统检查)是有价值的筛选试验,但不能充分掌握肝功能的全貌。下面将叙述各种病情时必要的检查和
First, the evaluation of preoperative liver function and surgical indications Correct evaluation of patients with preoperative liver function, and to determine the indications for surgery is to prevent postoperative liver failure is most necessary. First of all, the heart to understand the history and then the clinical manifestations, and secondly, check the liver function. However, the liver has extremely complex and multifaceted functions. However, the current general liver function tests (serum proteins and classification, serum direct and indirect bilirubin, GOT, GPT, ALP, serum turbidity test, ICG, , Urobilinogen, bleeding and coagulation system examination) is a valuable screening test, but can not fully grasp the overall picture of liver function. The following will describe the various checks and conditions necessary