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目的 探讨病毒性肝炎患者实行胆道手术的可行性。方法 对 2 10例病毒性肝炎伴肝外胆道疾病患者的外科围手术期治疗情况进行回顾性分析。结果 死亡率为 3.8% (8/ 2 10 ) ,手术并发症发生率为 19.5 % ,主要并发症为术中出血和术后肝功能衰竭。结论 病毒性肝炎患者的胆道手术是可行的 ,术前需要正确评价肝功能 ;围手术期强调持续保护肝脏治疗、调整代谢系统、全身支持、预防感染等综合治疗。要求术者对胆道手术比较熟练 ,手术方式简单有效
Objective To investigate the feasibility of biliary tract surgery in patients with viral hepatitis. Methods Surgical perioperative treatment of 210 cases of viral hepatitis with extrahepatic biliary disease were retrospectively analyzed. Results The mortality rate was 3.8% (8/2 10). The incidence of surgical complications was 19.5%. The main complications were intraoperative bleeding and postoperative liver failure. Conclusions Biliary tract surgery is feasible in patients with viral hepatitis. Preoperative evaluation of liver function is necessary. Perioperative emphasis should be placed on continuous protection of the liver, adjustment of the metabolic system, general support and prevention of infection. Requires surgery who are more skilled biliary surgery, surgical methods are simple and effective