Management of perioperative ascites in cirrhotic patients undergoing abdominal operation
10.3760/cma.j.issn.1007-631X.2009.08.012
- VernacularTitle:腹部手术合并门静脉高压症患者围手术期腹水的处理
- Author:
Qing XU
;
Lei GU
;
Zhiyong WU
;
Meng LUO
;
Yongwei SUN
;
Wei CHEN
- Publication Type:Journal Article
- Keywords:
Hypertension,portal;
Ascites;
Intraoperative period;
Opertive procedures,surgical
- From:
Chinese Journal of General Surgery
2009;24(8):638-641
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the perioperative management of cirrhotic patients undergoing abdominal operation. Methods From Jan. 2000 to Jul. 2007, 93 patients with PHT underwent operation in our hospital. We retrospectively analyzed the data according to different therapy result. Results 21 cases developed postoperative ascites. The occurrence of ascites in patients dealt with PHT and coexistent other abdominal disease was 7% and 12% respectively for Child A and B grade patients. The occurrence of ascites in patients dealt with only abdominal disease was 13% and 17% respectively for Child A and B grade patients. The occurrence of ascites in patients dealt with PHT and abdominal disease was amazingly 83% for Child C cases. Patients suffered from tumors didn't have more risk of ascites than the other patients. Conclusion The proper perioperative management of patients can decrease the mortality. To deal with PHT together with abdominal operation is reasonable for patients in Child A or B liver function, and it would not increase the postoperative ascites. For the selective patients, we must try our best to decrease the ascites preoperatively to improve the condition.
