【摘要】 目的探讨减少原发性肝癌术后胸腔积液发生率的方法。方法回顾性分析165例右肝切除术后出现胸腔积液患者肝脏切除量、常温下肝门阻断时间、术后人血白蛋白补充情况对术后胸腔积液的影响。结果术后右侧胸腔积液超过5 cm的比例,右半肝切除高于局部肝脏切除(31.91%vs 7.63%);肝门阻断时间超过15 min者明显高于阻断时间不足15 min者(26.47%vs 6.19%);术后人血白蛋白补充总量超过50 g者明显低于不足50 g者(7.58%vs 19.19%)。结论对于右肝切除的患者应该尽量减少肝脏切除、缩短肝门阻断时间,并在术后尽快补充血白蛋白浓度至正常范围,可以明显减少术后大量胸腔积液的发生。更多还原

【Abstract】 Objective To investigate the factors related to postoperative pleural effusion in patients with primary liver cancer. Methods Clinical data of 165 patients with primary liver cancer undergoing right liver resection were retrospectively reviewed. The relationship of liver resection size,hilar blocking time and postoperative albumin supplementary with pleural effusion was analyzed.Results The incidence of postoperative pleural effusion > 5 cm,as shown on echography,in patients with right half liver resection was higher than those with local excision( 31. 91% vs 7. 63%),in patients with hilar blocking time > 15 min was higher than those with blocking time < 15 min( 26. 47%vs 6. 19%),and in patients with postoperative albumin supplement > 50 g was lower than those with albumin supplement < 50 g( 7. 58% vs 19. 19%). Conclusion To decrease the postoperative massive pleural effusion it is suggested to reduce the resection liver size,to shorten hilar blocking time and to supplement sufficient albumin after surgery in patients undergoing right liver resection.更多还原