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肝切除术是目前治疗肝癌的首选方案。由于肝脏血管极其丰富,且肝癌患者凝血功能较差,故在切肝过程中往往失血量较多,常常需要紧急输血,维持肝脏血供。我所1990年1月～1997年6月成功施行肝癌切除手术236例,并在术中输血管理方面取得一些经验,现总结如下。 1 临床资料 1.1 一般资料 本组236例,男177例,女59例,年龄28～69岁。经术后病理证实,肝细胞肝癌233例,胆管细胞肝癌2例,混合型肝癌1例。合并肝硬化157例,占66.5％。
Liver resection is currently the first choice for treatment of liver cancer. Due to the extremely rich liver blood vessels and poor coagulation function in patients with liver cancer, blood loss often occurs in the process of liver resection. Emergency blood transfusions are often needed to maintain liver blood supply. From January 1990 to June 1997, we successfully performed 236 cases of liver cancer resection and gained some experience in intraoperative blood transfusion management. 1 Clinical data 1.1 General information The group of 236 cases, 177 males, 59 females, aged 28 to 69 years old. After pathological examination, 233 cases of hepatocellular carcinoma, 2 cases of cholangiocarcinoma, and 1 case of mixed hepatocellular carcinoma were confirmed. With 157 cases of liver cirrhosis, accounting for 66.5%.