CAJ | 학술논문

目的：探讨肝移植术后早期腹腔出血的原因。方法回顾性分析河北医科大学第三医院2002年5月至2011年8月共施行肝移植病例的出血情况。结果此期间本院共施行89例肝移植，术后早期出现腹腔内出血共8例。外科因素是导致肝移植术后早期腹腔出血的主要原因；凝血功能紊乱及血小板减少是术后早期尤其是24小时内腹腔出血的重要原因。结论对肝移植患者，在严密监测和纠正凝血功能障碍、积累和提高外科经验和技术的同时，注意控制二次手术中的出血相关危险因素，将有助于改善患者围手术期的生存率。
목적：탐토간이식술후조기복강출혈적원인。방법회고성분석하북의과대학제삼의원2002년5월지2011년8월공시행간이식병례적출혈정황。결과차기간본원공시행89례간이식，술후조기출현복강내출혈공8례。외과인소시도치간이식술후조기복강출혈적주요원인；응혈공능문란급혈소판감소시술후조기우기시24소시내복강출혈적중요원인。결론대간이식환자，재엄밀감측화규정응혈공능장애、적루화제고외과경험화기술적동시，주의공제이차수술중적출혈상관위험인소，장유조우개선환자위수술기적생존솔。
Objective To discuss the causes of intra-abdominal bleeding in the early stage after liver transplantation. Methods Clinical data from 89 patients who underwent liver transplant at The Third Hospital of Hebei Medical University from May 2002 to August 2011 were analyzed retrospectively. Results Early stage intra-abdominal bleeding after liver transplant were found in 8 cases,surgical factors were the main causes of intra-abdominal bleeding at early stage after liver trnsplant,coagulation disorders and thrombocytopenia were also important reasons of intra-abdominal bleeding at early stage after liver transplant,especially at the first 24 hours. Conclusion To improve the survival rate of patients with perioperative period,the disorders of coagulation should be close monitored and treated,and the risk factors of bleeding should be controlled. At the same time, accumulating and improving the surgical experience and technology also play important roles.