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恶性梗阻性黄疸病人术前准备与术后处理—附102例病例分析

Preparations before Operation and Managements after Operation in Patients with Malignant Obstructive Jaundice

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【作者】 吴业权王向东王国卿张宝库孙甲东孙正午

【Author】 Wu Yiequan et al

【机构】 哈尔滨医科大学一院普外科哈尔滨医科大学一院普外科

【摘要】 本文对102例恶性梗阻性黄疸病人术前准备与术后处理进行了分析,结果表明,恶性梗阻性黄疸病人术后并发症和死亡率与术前准备、术后处理有密切关系,与术前血红蛋白、血浆白蛋白、血胆红素、尿素氮、白细胞等因素有明显相关。我们提出术前做PTCD、改善营养状态、改善肝肾功能、以及正确应用静脉补液和抗炎,能够减少术后的并发症和死亡率。

【Abstract】 Preparations before operation and managements after operation were analyzed in 102 patients with malignant obstructive jaundice. The results showed that complications and mortality in these patients are closely relation to preparations before operation and managements after operation, and to factors before operation such as hemoglobin, serum albumin, bilirubin, blood urea nitrogen, blood white cell. We advocated that it is possible to reduce complications and mortality if care is taken to improve nourishment in the body and function of liver and kidney, to make PTCD and correct use of intravenous antibiotics and transfusions.

  • 【文献出处】 哈尔滨医科大学学报 ,Journal of Harbin Medical University , 编辑部邮箱 ,1988年02期
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