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《肝下下腔靜脈阻斷聯(lián)合入肝血流阻斷在復(fù)雜肝切除術(shù)中應(yīng)用》由會(huì)員上傳分享,免費(fèi)在線閱讀,更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。
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2、??b????????????-N??j?-N??j???????????????????"?-N??j?-N??j????????????#??P?b???????????$71???????DN)0WT??DN)0?DN)0L1B???"????$71???#????DN)0WT??D
3、N)0?P?b????????b?????????б??????????????????????*7$????1SJOHMF???????????????$71??????????b??????????????????????b}???~???????????????????????????3??????"ApplicationofinfrahepaticinferiorvenacavaclampingcombinedwithPringlemaneuverincomplexhepatectomySUIChen
4、g-jun,SHENWei-feng,LUJiong-jiong,etal.DepartmentofSpecialMedicalCareúandLiverTransplantation,EasternHepatobiliaryHospital,theSecondMilitaryMedicalUniversity,Shanghai200438,ChinaCorrespondingauthor:YANGJia-mei,E-mail:jmyang@smmu.edu.cnAbstractObjectiveToexplorethec
5、linicalvalueofinfrahepaticinferiorvenacava(IVC)clampingcombinedwithPringlemaneuverincomplexhepatectomy.MethodsNinetyonecaseswhounderwenthepatectomybetweenMarch2010andDecember2011wereeligibleandanalyzedretrospectively.IVCclampingcombinedwithPringlemaneuverwasapplie
6、dto43cases(groupA)andPringlemaneuveralonewasappliedto48cases(groupB).Dataonpatientdemographics,surgicalprocedureandoutcomewerecollectedandcomparedbetweenthetwogroups.ResultsTotalintraoperativebloodloss(312.79±267.28mLvs.471.04±317.80mL,P=0.01)andbloodlossduringpar
7、enchymaltransaction(80.70±79.77mLvs.200.21±165.09mL,P=0.00)weresignificantlylessingroupAthaningroupB.TheCVPwas8.47±2.60cmH2ObeforeIVCclampingand1.81±2.34cmH2OafterIVCclampingingroupA,whichdecreasedby6.66cmH2O(P<0.05).AndtheCVPwassignificantlyloweringroupAthaningro
8、upBduringparenchymaltransection(1.81±2.34cmH2Ovs.7.21±2.27cmH2O,P<0.05).Thepostoperativeliverandrenalfunctionsandtotalmorbidityrateswerecomparablebetwee