中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
10期
56-57
,共2页
杨红星%赵永福%唐哲%卢宾宾
楊紅星%趙永福%唐哲%盧賓賓
양홍성%조영복%당철%로빈빈
低中心静脉压%肝癌切除术%失血量%肝肾功能
低中心靜脈壓%肝癌切除術%失血量%肝腎功能
저중심정맥압%간암절제술%실혈량%간신공능
Low central venous pressure%Hepatectomy%Blood loss%Hepatorenal function
目的 观察低中心静脉压( LCVP)对肝癌切除手术失血量和肝肾功能的影响.方法 40例行肝叶切除术的原发性肝癌患者随机分为两组,低中心静脉压组(LCVP组)20例和正常中心静脉压组(NCVP组)20例,LCVP组在肝实质完全离断过程中控制中心静脉压(CVP)在0~5 cm H2O,NCVP组CVP维持在6~12 cm H2O.观察两组患者肝实质离断时失血量及比较术后肝肾功能变化.结果 LCVP组术中失血量为(222±98) ml,NCVP组术中失血量为(426±197)ml,LCVP组术中失血量明显少于NCVP组(P<0.05),两组间术后肝肾功能比较,差异无统计学意义(P>0.05).结论 低中心静脉压可减少肝癌切除术中的出血量,对肝肾功能的影响小.
目的 觀察低中心靜脈壓( LCVP)對肝癌切除手術失血量和肝腎功能的影響.方法 40例行肝葉切除術的原髮性肝癌患者隨機分為兩組,低中心靜脈壓組(LCVP組)20例和正常中心靜脈壓組(NCVP組)20例,LCVP組在肝實質完全離斷過程中控製中心靜脈壓(CVP)在0~5 cm H2O,NCVP組CVP維持在6~12 cm H2O.觀察兩組患者肝實質離斷時失血量及比較術後肝腎功能變化.結果 LCVP組術中失血量為(222±98) ml,NCVP組術中失血量為(426±197)ml,LCVP組術中失血量明顯少于NCVP組(P<0.05),兩組間術後肝腎功能比較,差異無統計學意義(P>0.05).結論 低中心靜脈壓可減少肝癌切除術中的齣血量,對肝腎功能的影響小.
목적 관찰저중심정맥압( LCVP)대간암절제수술실혈량화간신공능적영향.방법 40례행간협절제술적원발성간암환자수궤분위량조,저중심정맥압조(LCVP조)20례화정상중심정맥압조(NCVP조)20례,LCVP조재간실질완전리단과정중공제중심정맥압(CVP)재0~5 cm H2O,NCVP조CVP유지재6~12 cm H2O.관찰량조환자간실질리단시실혈량급비교술후간신공능변화.결과 LCVP조술중실혈량위(222±98) ml,NCVP조술중실혈량위(426±197)ml,LCVP조술중실혈량명현소우NCVP조(P<0.05),량조간술후간신공능비교,차이무통계학의의(P>0.05).결론 저중심정맥압가감소간암절제술중적출혈량,대간신공능적영향소.
Objective To investigate the effects of low central venous pressure(LCVP) on blood loss and hepatorenal function during hepatectomy for hepatocellular carcinoma(HCC).Methods Forty patients with HCC were randomly divided into two groups,normal central venous pressure group (NCVP,n =20) and LCVP group (n =20).The central venous pressure(CVP) of LCVP group patients was maintained less than 5 cm H2O during hepatic parenchymal transection phase of surgery,while the NCVP group with normal CVP(6 - 12 cm H2O).The volume of blood loss and changes of hepatorenal function were compared between the two groups.Results The volume of blood loss in the LCVP group was (222 ±98)ml,which was significantly less than that of the NCVP group [ (426 ± 197)ml,P <0.05].There was no significant difference in hepatorenal function between the two groups ( P > 0.05).Conclusions With the maintenance of CVP ≤5 cm H2O,blood loss during hepatic parenchymal transection is markly decreased,and it has no detrimental effect on hepatorenal function.