摘要
作者自１９８６年以来，共行膀胱全切或膀胱部分切除加输尿管膀胱吻合术６４例，前列腺摘除术１８２例。术后并发髂外静脉血栓和血栓性静脉炎５例，经治疗痊愈３例，另２例因并发急性肺栓塞分别于术后第７天和第１６天死亡。髂外静脉血栓形成为一严重并发症，一旦发生急性肺栓塞可很快导致死亡。术前鼓励患者加强肢体活动，及时处理血栓形成高危因素；术中保持血压平稳，注意避免损伤髂外静脉；术后早期床上活动，尽量少用下肢血管输液，不要盲目应用止血剂，适当静脉滴注低分子右旋糖酐和口服潘生丁等，有助于预防此并发症的发生。
Abstract Since 1986,we have performed total cystectomyor partial cystectomy with ureteroneocystostomy in 64cases and prostatectomy in 182 cases.5 cases devel-oped vena iliaca external thrombosis(VIET) or throm-bophlebitis postoperatively. Three of them recoveredafter treatment,and 2 died of pulmonary embolism 7and 16 days after operations.VIET is a very seriouscomplication. Once develops pulmonary embolism,thepatient may die soon. We suggested that patients beencouraged to increase limbs activities,be givenmedicines of antilipemic and antiatherogenic preopera-tively.- And during the surgical operation,patients’blood pressure should be kept steady,and hypopieticshock should be avoided as long as possible. The venailiaca external should never be constricted when a deephook is used for exposure or gauze is used to stopbleeding. After operation,the patient should be en-couraged to exercise on bed or around bed as early aspossible,so as to increase venous flow. The veins oflower limbs should be avoided by using infusion. Styp-tic should not be applied abusively. Infusion of dex-tranum-40 and orally taking of persantinum may alsobe used to prevent this kind of complication.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1995年第8期502-504,共3页
Chinese Journal of Surgery
