| Objective:To explore the prevention, diagnosis and treatment of postoperative liver failure of the multiple stones of
bile duct.Methods:FromJanuary 2011 to December 2013, a total of 126 patients with multiple stones of bile duct of liver inside and outside
lines who underwent surgical treatment were hospitalized, postoperative liver failure were found in 6 cases who received merger lobe
resection, accounted for 4.76%. After timely and accurate diagnosis of liver failure, the anti-inflammation protection of liver, hemostasis,
human blood albumin, glucocorticoid, inhibition of gastric acid, blood transfusion, diuresis, fall blood ammonia, plasma exchange, symptomatic
treatment and support treatment were given to the patients.Results:Before discharging fromhospital, the T-BIL of 6 patients was
28.3 ~ 58.7 mmol/L. ALT was 16 ~ 62 U/L, AST was 12 ~ 85 U/L, plasma albumin was 32.1 ~ 37.8 g/L, the coagulation function returned
to normal, the ascites disappeared, blood ammonia was normal, upper gastrointestinal bleeding was stopped. Post operative hospitalization
duration 12 ~ 35 d, an average of 18 days. All 6 patients survived in the follow-up, visit until now.Conclusion:Liver failure
was one of the most serious complications of liver and biliary tract surgery, however, sufficient preoperative preparation and evaluation,
timely preoperative diagnosis and treatment, could obviously reduce the mortality. |
