【摘 要】
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目的 寻求一种既能有效控制肝切除出血又能保留健侧肝脏的正常供血的肝血流阻断技术.方法 对我院普外科2002年3月以来开展游离肝门板病肝血流阻断行肝切除13例临床病例进行分
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目的 寻求一种既能有效控制肝切除出血又能保留健侧肝脏的正常供血的肝血流阻断技术.方法 对我院普外科2002年3月以来开展游离肝门板病肝血流阻断行肝切除13例临床病例进行分析.结果 术中出血300~3550 ml,平均1000 ml,术后2例胆红素升高超过17.1 μmol/L,升高最多不超过26 μmol/L,术后恢复顺利,无肝衰、胆漏、隔下感染,少量腹水及胸腔积液各1例.结论 游离肝门板病肝血流阻断行肝切除术,方法安全简便,对于控制术中出血,防止术后肝功能衰竭,降低胆道损伤,有明显效果,易于在基层医院推广.
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