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原发性肝癌肝切除术后肝衰竭的防治进展
Advances in the prevention and treatment of posthepatectomy liver failure in patients with primary liver cancer
【摘要】 肝切除术后肝衰竭(PHLF)是导致肝切除术后围手术期死亡的主要原因。总结了目前导致PHLF的因素、预测方法、预防措施及专家共识等方面的研究现况,得出了术前客观评价肝脏的功能状态、合理设计肝脏手术切除方式以及精准操作外科手术是降低PHLF发生率的关键措施。
【Abstract】 Posthepatectomy liver failure(PHLF) is a major cause of perioperative death after hepatectomy. This article summarizes the current status of research on risk factors contributing to PHLF,prediction methods,preventive measures,and related expert consensus,and it is pointed out that an objective evaluation of liver function before surgery,a reasonable design of the method of liver resection,and accurate operation are the key measures to reduce the incidence rate of PHLF.
【关键词】 肝肿瘤;
肝切除术;
肝功能衰竭;
肝脏储备功能;
综述;
【Key words】 liver neoplasms; hepatectomy; liver failure; hepatic reserve function; review;
【Key words】 liver neoplasms; hepatectomy; liver failure; hepatic reserve function; review;
【基金】 国家自然科学基金(81460426);广西医疗卫生适宜技术开发与推广应用项目(s201629)
- 【文献出处】 临床肝胆病杂志 ,Journal of Clinical Hepatology , 编辑部邮箱 ,2018年12期
- 【分类号】R735.7;R575.3
- 【被引频次】16
- 【下载频次】527