CAJ | 학술논문

目的探讨肝切除术后严重腹胀病人合并肠壁囊样积气的发生原因及防治.方法统计分析2004年1月至2007年1月东方肝胆外科医院32例肝切除术后严重腹胀并行腹部平片和(或)CT检查病人的病历资料.结果 32例病人中有5例发现肠擘囊样积气,占严重腹胀病人的15.6%.4例治愈,1例死于肠系膜血栓形成,肠坏死.平均肝门阻断时间为(28.35±6.46)min,术中平均出血量为(2160.38±356.34)ml.结论肝门阻断时间较长和术中发生大出血的病人可能因肠淤血和缺血而发生严重腹胀和肠壁囊样积气,应引起临床足够的重视.
목적 탐토간절제술후엄중복창병인합병장벽낭양적기적발생원인급방치.방법 통계분석2004년1월지2007년1월동방간담외과의원32례간절제술후엄중복창병행복부평편화(혹)CT검사병인적병력자료.결과 32례병인중유5례발현장벽낭양적기,점엄중복창병인적15.6%.4례치유,1례사우장계막혈전형성,장배사.평균간문조단시간위(28.35±6.46)min,술중평균출혈량위(2160.38±356.34)ml.결론 간문조단시간교장화술중발생대출혈적병인가능인장어혈화결혈이발생엄중복창화장벽낭양적기,응인기림상족구적중시.
Objective To investigate the origin, prevention and management of pneumatosis in-testinalis after hepatectomy that complicated with serious abdominal distension. Methods The clinical data of 32 patients with serious abdominal distension after hepatectomy who received abdominal radio-graphy and (or) CT scan in our hospital from January 2004 to January 2007 were collected and retro-spectively analyzed. Results There were 5 of the 32 patients were diagnosed to suffer from pneumato-sis intestinalis. The average hepatic hilum interception time of the 32 patients was (28.35±6.46)min and the average blood loss was(2160.38±356.34)ml. Conclusion The patients having longer hilum in-terception time and hemorrhage during hepatectomy may develop congestion and ischemia of intestine to result in serious abdominal distention and pneumatosis intestinalis. More attention should be paid to these patients.