临床活体肝部分移植术后腹腔内出血原因及防治（Cause and prevention of intra-abdominal hemorrhage after partial liver transplantation）.docVIP

下载本文档

3
0
约8.07千字
约 6页
2017-09-08 发布于河南
举报
版权申诉

临床活体肝部分移植术后腹腔内出血原因及防治（Cause and prevention of intra-abdominal hemorrhage after partial liver transplantation）.doc

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

临床活体肝部分移植术后腹腔内出血原因及防治（Cause and prevention of intra-abdominal hemorrhage after partial liver transplantation）

临床活体肝部分移植术后腹腔内出血原因及防治（Cause and prevention of intra-abdominal hemorrhage after partial liver transplantation） Cause and prevention of intra-abdominal hemorrhage after partial liver transplantation Update: 2010-08-04 tube Wenxian Li Kaizong Gao Zhiqing Zhang Xinhai Tanaka Koichi et al sinus The author treats 1 cases of living liver partial transplantation, and has undergone 2 abdominal bleeding after operation. All the patients are cured. Combine the literature introduction as follows. clinical data 1. recipient patients: female, 10. Partial orthotopic liver transplantation for congenital diffuse intrahepatic cystic biliary dilatation, recurrent cholangitis and cirrhosis of liver [1]. 2. after operation and results after the ICU ward care treatment, heart, lung, liver and kidney function recovery, to prevent bleeding and vascular anastomotic thrombosis with prostaglandin E1 microcirculation, to correct the bleeding tendency of fresh plasma. To maintain the following indicators within a certain range, Ht:25% up and down; about Hb:100g/L; PT:15 to 20S; PLT:30 to 50 x 109/L [2]. 15 hours after operation, more peritoneal fluid (40 ~ 80ml/h), bright red color (Hb:28 to 42g/L, Ht:8.7% to 12.4%), transfusion of plasma and platelets can not be corrected. The laparotomy was performed twenty-second hours later, and the blood accumulation was about 1 000ml. The liver section showed a small diameter of 1 to 2mm of small orifice hemorrhage. Suture and hemostasis often stop the abdominal cavity. The postoperative time was smooth. After thirty-fifth hours after the first operation, more fresh red liquid appeared in the drainage of the abdominal cavity, and anemia sign appeared. In the first 50 hours after surgery, the drainage volume increases further, ineffective treatment of internal bleeding, then in the first 52 hours after the surgery, second laparotomy, found on the edge of duodenal lymph node dissection surface with active bleeding, blood clot removed about 400ml, with nonin