Child-Pugh C class cirrhosis splenectomy in 49 cases of analysis.docVIP

 PAGE \* MERGEFORMAT 12 Child-Pugh C class cirrhosis splenectomy in 49 cases of analysis Authors: Yong Gu, Li Hongxin, Zhaoguo Yang, Zhao Hanlin, SUN Yue-ming 【Abstract】 Objective To improve operations and strengthen the rational perioperative period to reduce the Chid-Pugh C class patients with liver cirrhosis mortality. Methods of Child-Pugh C class cirrhosis splenectomy in 49 cases. Take median incision, respectively, using traditional methods splenectomy in 19 cases, in-situ operation group, 30 cases of perioperative treatment of illness and giving of treatment and focused. Results of 49 cases, 5 deaths, 5 cases of death of the traditional method group, operative mortality rate was 26.3%, in-situ surgical group mortality of 0. Conclusion The operative skilled, methods appropriate circumstances, Child-Pugh C class patients with cirrhosis can be splenectomy surgery. Keywords: Child-Pugh C class; operative mortality; situ splenectomy; Perioperative treatment 【Abstract】 Objective To reduce the operative mortality of patients with cirrhosis of Child-Pugh C by improving operative procedures and strengthening perioperative treatment.Methods clinical data of 49 patients with cirrhosis of Child-Pugh C receiving splenotomy were retrospectively.analyzed Conventional procedures of splenotomy were used for 19 patients and in situ procedures were used for 30 patients by median incision, taking treatment suited to conditions and stressing the main points in perioperative period.Results 5 patients were died in the 49 patients, all 5 the patients were part of the group of conventional procedures and there was no death in situ procedures.Operative mortality was 26.3%. Conclusion Under the conditions of perfect operative procedure and proper operative method, splenotomy is feasible for patients with cirrhosis of Child-Pugh C. 【Keywords:】 Child-Pugh C; operative mortality; in situ procedures; perioperative treatment Most scho