摘要
为了解梗阻性黄疸患者术后发生肾功能衰竭的原因，预防术后肾衰发生，对１９８４～１９９３年收治的接受手术治疗的梗阻性黄疸患者６７例进行分析。６７例中发生术后肾功能衰竭１３例（１９４％），其中死亡６例（４６２％）。１３例梗阻性黄疸患者术后发生肾功能衰竭主要因素有：①患者的年龄偏大；②术前肾功能基础较差；③胆道感染；④手术时间过长；⑤黄疸程度过高。提出预防措施：①术前纠正肾功能异常；②预防性应用抗生素；③术前采取适当减黄措施；
From 1984 to 1993,127 patients with obstructive jaundice were admitted,and 67 cases were operated.Postoperative renal failure(PRF)were found in 13 patients(19 4%),and among them,6 patients(46 2%) died.It was found that PRF associated with:①elder age of the patients;②poor preoperative renal function;③infection of the bile duct;④prolonged operating time and ⑤advanced jaundice.Thereby,it is thought prophylactic measures should be:①correcting preoperative renal disfunction;②use of the prophylactic antibiotics;③proper biliary drainage and ④shortening the operation time.
出处
《中日友好医院学报》
1996年第2期128-131,共4页
Journal of China-Japan Friendship Hospital
关键词
黄疸
肾功能衰竭
外科手术
jaundice
kidney failure
surgery,operation
