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1992年8月至1997年6月共收治手术病理证实胆囊癌患者73例,术后1月内死亡9例(死亡率12.6%)。回顾性分析并比较死亡患者与术后非死亡患者临床及病理特征,发现高胆红素血症、肝功状况较差及肾功衰竭等是死亡的主要原因。应加强患者的术前检查及围手术期处理,减少单纯剖腹探查术。
From August 1992 to June 1997, 73 cases of gallbladder cancer were confirmed surgically and pathologically, and 9 cases (mortality 12.6%) died within 1 month after operation. Retrospective analysis and comparison of the clinical and pathological features of patients with death and postoperative non-death patients revealed that hyperbilirubinemia, poor liver function, and renal failure were the major causes of death. The patient’s preoperative examination and perioperative management should be strengthened to reduce the simple laparotomy.