摘要
【目的】探讨LCVP技术用于肝切除手术的可行性和有效性。【方法】60例行肝叶切除手术的肝癌病人,随机分为两组。组Ⅰ为正常输液组(对照组),组Ⅱ为LCVP组(实验组)。组Ⅱ术中维持低中心静脉压(CVP≤5cmH2O),于肝叶切除后恢复正常CVP;组Ⅰ维持中心静脉压6～12cmH2O。比较两组手术切除肝叶所需时间、术中失血量和输血量以及术后肾功能的影响。【结果】实验组肝叶切除所需时间、术中失血量和输血量明显少于对照组;术后对肾功能无损害。【结论】肝脏切除手术中采用LCVP技术可明显缩短手术时间和有效减少术中的出血量及输血量,可能有利于病人术后的康复。
To assess the possibility and effectiveness of controlled low central venous pressure (LCVP) on major hepatic resection. Sixty patients scheduled for elective major hepatic resections were randomly divided into two groups. The test group was managed by LCVP (CVP≤5cmH2O)during hepatic resection period and CVP was returned to normal after liver resection, while the control group was performed routinely with normal CVP (6 12 cmH2O). The time of hepatectomies, volume of blood loss, volume of blood transfused, and renal function were compared between the two groups.The time of hepatectomies, volume of blood loss, volume of blood transfused in test group were significantly less than that of the control group(P< 0.05). Renal function was not affected by controlled LCVP. [Conclusion]The controlled LCVP technique during liver resection is beneficial for reducing blood loss and blood infusion, shortening operation, and may be beneficial for more rapid recovery of patients.
出处
《中山大学学报（医学科学版）》
CAS
CSCD
北大核心
2004年第2期180-183,共4页
Journal of Sun Yat-Sen University:Medical Sciences
基金
中山大学附属肿瘤医院归国人员启动基金资助项目(6311#)
