CAJ | 학술논문

目的探讨肝癌患者单纯输注白蛋白和联合输注白蛋白+新鲜冰冻血浆的临床疗效.方法 68例肝癌患者随机份白蛋白组(34例)联合输注白蛋白+新鲜冰冻血浆组(34例).排除门脉栓患者术后易出现肝功异常,大量腹水的出现,蛋白降低(＜30 g/L).联合组每天输注蛋白10 g/L和新鲜冰冻血浆200 m1,直到蛋白＞31 g/L,腹水减少,食欲增加,大约需5～7 d.蛋白组每天输注蛋白10～20g/L,约5～7 d.结果两组有显著差异(P＜0.05),蛋白组提高蛋白有效率达90.8%,但肝功能(ALT)恢复较慢,大量腹水无变化.联合组提高蛋白有效率达96.78%,腹水明显减少,食欲增加,ALT指数降低,肝功能恢复较快.结论肝癌患者术后采用白蛋白和血浆联合输注,较快的提高了蛋白,有利益于肝功能的恢复,腹水明显减少,食欲增加,易于患者术后的恢复.
목적 탐토간암환자단순수주백단백화연합수주백단백+신선빙동혈장적림상료효.방법 68례간암환자수궤빈백단백조(34례)연합수주백단백+신선빙동혈장조(34례).배제문맥전환자술후역출현간공이상,대량복수적출현,단백강저(＜30 g/L).연합조매천수주단백10 g/L화신선빙동혈장200 m1,직도단백＞31 g/L,복수감소,식욕증가,대약수5～7 d.단백조매천수주단백10～20g/L,약5～7 d.결과 량조유현저차이(P＜0.05),단백조제고단백유효솔체90.8%,단간공능(ALT)회복교만,대량복수무변화.연합조제고단백유효솔체96.78%,복수명현감소,식욕증가,ALT지수강저,간공능회복교쾌.결론 간암환자술후채용백단백화혈장연합수주,교쾌적제고료단백,유이익우간공능적회복,복수명현감소,식욕증가,역우환자술후적회복.
Objective To explore the clinical effects of albumin transfusion (Group 1)and albumin combined with plasma(Group 2) transfusion for hepatocelluar carcinoma. Methods 2 groups were designed and each group had 34 cases of patients who after the operation to dislodge thrombus in portal vein and had some symtoms such as liver dysfuntion,ascite or decreased blood albumin(＜30 g/L). Group 1 were infused albumin at the dosage of 10 ～20 g/d for 5-7 days,while Group 2 were insfused albumin for 10-20 g/d and freshly frozened plasma 200 ml/d for 5-7 days. Results There was significant difference between Group 1 and Group 2. In Group 1 ,blood albumin were effetively increased(＞ 30 g/L)by 90. 8% ,while ALT recovered slowly and there were no obvious changes for ascite. In group 2, the effective ratio for raising albumin was 96.78% , ascite was reduced obviously, the count of of ALT and liver function recovered more quickly than Group 1 while provoking the appetite. Conclusion The combined transfusion of albumin and plasma may raise blood albumin effectively and be advantageous to liver functional recovery, reducing ascite and proyoking the appetite. This treatment is favorable to support recovery after surgical operation.