中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2012年
1期
72-74
,共3页
肝切除术%中心静脉压%肝癌
肝切除術%中心靜脈壓%肝癌
간절제술%중심정맥압%간암
Hepatic resection%Central venous pressure%Liver cancer
目的 探讨低中心静脉压(LCVP)技术在肝切除手术中的可行性和有效性.方法 将48例行肝切除术患者计算机随机分为两组,LCVP组术中维持中心静脉压(CVP)≤5 cm H20,肝切除后恢复正常CVP;对照组维持CVP6～12 cm H20.比较两组患者手术切除肝叶所需时间、术中出血量、输血量及术后肾功能.结果 LCVP组与对照组肝切除所需时间为(45±8)、(35±5)min,失血量分别为( 850±160)、(436±280) ml,术中出血量分别为(490±130)、(270±105) ml,差异均有统计学意义(t值分别为15.53、7.69、17.89,P＜0.05)；手术前后两组肾功能均无明显变化(P均＞0.05).结论 肝切除术中应用LCVP可明显缩短手术时间,减少术中出血量及输血量,且对肾功能无明显损害,有利于患者康复.
目的 探討低中心靜脈壓(LCVP)技術在肝切除手術中的可行性和有效性.方法 將48例行肝切除術患者計算機隨機分為兩組,LCVP組術中維持中心靜脈壓(CVP)≤5 cm H20,肝切除後恢複正常CVP;對照組維持CVP6～12 cm H20.比較兩組患者手術切除肝葉所需時間、術中齣血量、輸血量及術後腎功能.結果 LCVP組與對照組肝切除所需時間為(45±8)、(35±5)min,失血量分彆為( 850±160)、(436±280) ml,術中齣血量分彆為(490±130)、(270±105) ml,差異均有統計學意義(t值分彆為15.53、7.69、17.89,P＜0.05)；手術前後兩組腎功能均無明顯變化(P均＞0.05).結論 肝切除術中應用LCVP可明顯縮短手術時間,減少術中齣血量及輸血量,且對腎功能無明顯損害,有利于患者康複.
목적 탐토저중심정맥압(LCVP)기술재간절제수술중적가행성화유효성.방법 장48례행간절제술환자계산궤수궤분위량조,LCVP조술중유지중심정맥압(CVP)≤5 cm H20,간절제후회복정상CVP;대조조유지CVP6～12 cm H20.비교량조환자수술절제간협소수시간、술중출혈량、수혈량급술후신공능.결과 LCVP조여대조조간절제소수시간위(45±8)、(35±5)min,실혈량분별위( 850±160)、(436±280) ml,술중출혈량분별위(490±130)、(270±105) ml,차이균유통계학의의(t치분별위15.53、7.69、17.89,P＜0.05)；수술전후량조신공능균무명현변화(P균＞0.05).결론 간절제술중응용LCVP가명현축단수술시간,감소술중출혈량급수혈량,차대신공능무명현손해,유리우환자강복.
Objective To investigate the feasibility and effectiveness of low central venous pressure (LCVP) in the operation of major hepatic resection.Methods Fourty-eight patients underwent major hepatic resection were randomized into two groups: LCVP and control group.In the LCVP group,CVP was maintained ≤5 cm H2O during the hepatic resection and then returned to normal after resection.In the control group,CVP was maintained normal between 6 -12 cm H20.The duration of hepatectomy,volume of blood loss,volume of blood transfused and renal function were compared between the two groups.Results For the LCVP and control group,the time for hepatectomy was (45 ± 8 ) and ( 35 ± 5 ) min,respectively; the volumes of blood loss were ( 850 ± 160) and (436 ±280)ml,respectively; the blood loss during operation was (490 ± 130) and (270 ± 105 ) ml respectively.The differences were statistically significant (t values were 15.53,7.69 and 17.89 separately,P ＜0.05 ).No significant difference in the renal function was observed before and after the operation ( P ＞ 0.05 ).Conclusion Using LCVP technique during liver resection significantly reduced the operation time,blood loss and blood infusion.And there wa.s no obvious adverse effect on renal function.
