【摘要】 目的探讨自体回输血技术常温下全肝血流阻断治疗常规手术方法不能切除的肝巨大血管瘤。方法采用国产自体血液回输机,对8例贴近多个肝门的肝巨大血管瘤常规在肝上下腔静脉、肝下下腔静脉、第一肝门放置阻断带,根据术中需要行不同时间的全肝血流阻断修补损伤血管。结果全组8例全部痊愈出院,除1例游离肝脏时瘤体破裂未能及时行全肝血流阻断致大出血术中输血6000毫升外,其余7例术中均未输血。结论采用自体回输血常温下全肝血流阻断技术切除常规手术方法不能切除的肝巨大血管瘤,是一种切实可行的办法。更多还原

【Abstract】 Objective To explore the intraoperative autologous transfusion in an improved under normal temperature on total hepatic vascular exclusion for extrapeploes hepatectomy of giant hepatic cavernous hemangioma.Methods The clinical data of 8 cases that underwent extrapolates hepatectomy requiring intraperative autologous transfusion from the cell-saver apparatus were analysed retrospectively.8 cases where the tumor involved the proximal hepatic veins and inferior vena cava.All cases were performed asing varying degrees of total hepatic vascular exclusion.Results 8 cases hemangioma were integrated resection and recovery.One case was ruptured of tumous result massive hemorrhage during extrapeploes hepatectomy,blood transfusion 6000ml,other 7 cases were not blood transfusion.Conclusion The intraoperative autologous transfusion in an improved under normal temperature on total hepatic vascular exclusion for extrapeploes hepatectomy of huge hepatic cavemous hemangioma had feasible.更多还原