【摘要】 为了总结肝脏肿瘤切除术中右侧肾上腺损伤处理的经验,对涉及右侧肾上腺损伤的101例肝肿瘤切除术患者的临床资料进行分析,并结合文献资料进行总结。全组肝肿瘤切除术均获得成功,合并的右侧肾上腺损伤也全部得到妥善处理。术后大出血6例(5.94%),因大出血死亡1例(0.99%),未发现肾上腺皮质功能减退病例。右侧肾上腺损伤的处理方法有纱布填塞法及贯穿缝合法。前者有并发术后严重出血的危险,建议弃用;后者止血效果确切,而且操作简单,值得推荐。更多还原

【Abstract】 The objective of this study was sum up the experiences of treatment for right adrenal gland injury on liver tumor resection.The clinical data of treatment on right adrenal gland injury for 101 cases with liver tumor resection were reviewed retrospectively and summarized.All cases were treated successfully by liver tumor resection.The cases with right adrenal gland injury have a best course during operation.There were six cases with postoperative hemorrhea (5.9%).One case died of postoperative hemorrhea (0.99%).No one with adrenocortical hypofunction occurred.The treatments of right adrenal gland injury include carbasus plugging and transfixing suture.It is opportunity to occur serious postoperative hemorrhage with hemostasis by carbasus plugging.Hemostasis by transfixing suture is the most appropriate for right adrenal gland injury on account of effectiveness and feasibility.更多还原