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目的探讨肝癌手术患者发生术后肺部并发症(PPC)与术中大量输血的关系。方法对230例因肝癌住院并接受剖腹手术治疗的病例资料进行回顾性分析,按术中输血量分为1000ml以下、1000～2000ml(含1000ml、2000ml)、2000ml以上3层,采用t检验的方法研究肝癌手术后发生肺部并发症(PPC)与术中输血的关系。结果术中输血量<1000ml、1000～2000ml、>2000ml三层患者中,PPC组输血制品总量及输注红细胞、血浆的量均显著高于非PPC组。结论术中输血量与肝癌患者术后肺部并发症的发生率呈明显的正相关关系。
Objective To investigate the relationship between postoperative pulmonary complications (PPC) and massive intraoperative blood transfusion in patients with liver cancer. Methods A retrospective analysis of 230 cases of liver cancer hospitalized for laparotomy was performed. According to the blood transfusion during operation, the data were divided into 1000ml, 1000ml 2000ml, 1000ml 2000ml, To study the relationship between pulmonary complications (PPC) and intraoperative blood transfusion after liver cancer surgery. Results In the three groups of blood transfusions <1000ml, 1000 ~ 2000ml,> 2000ml, the total amount of transfusion products and the amount of erythrocytes and plasma transfused in PPC group were significantly higher than those in non-PPC group. Conclusions Intraoperative blood transfusion has a positive correlation with the incidence of postoperative pulmonary complications in patients with liver cancer.