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[肝细胞癌重度饮酒者的肝切除术及围手术期管理]

[Hepatectomy and perisurgical management for heavy drinker with hepatocellular carcinoma].

作者信息

Nakayama Hisashi, Takayama Tadatoshi, Hemmi Akihiro

机构信息

Department of Digestive Surgery, Nihon University School of Medicine, Ohyaguchi-Kamimachi, Itabashiku, Tokyo 173-8610, Japan.

出版信息

Nihon Arukoru Yakubutsu Igakkai Zasshi. 2006 Aug;41(4):337-42.

Abstract

Hepatic resection is the first choice of treatment for hepatocellular carcinoma (HCC), and has the best results among the therapeutic options. Preoperative evaluation of liver function in patients and perioperative management for patients, to prevent postoperative complications, are very important. Postoperative pulmonary complications, including pneumonia and atelectasis, were frequently shown in patients who had past history of heavy alcohol-intake. Postoperative pulmonary complications in heavy drinkers were associated with their habit of smoking. Temperance and non-smoking should be required, when hepatectomy will be performed for heavy drinker.

摘要

肝切除术是肝细胞癌(HCC)的首选治疗方法,在各种治疗选择中效果最佳。对患者进行术前肝功能评估以及围手术期管理,以预防术后并发症,这非常重要。术后肺部并发症,包括肺炎和肺不张,在有大量饮酒史的患者中经常出现。重度饮酒者的术后肺部并发症与其吸烟习惯有关。对于重度饮酒者进行肝切除手术时,应要求其戒酒并戒烟。

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