肝切除术后感染及防治策略

Prevention and treatment strategies of postoperative infection after liver resection

  • 摘要: 肝切除术是治疗肝胆良恶性疾病的重要方法,手术创伤较大、操作复杂、难度较高,术后并发症相对较多,感染是最常见的并发症。术后感染不仅增加患者的经济负担和治疗难度,还影响预后。肝切除术后发生感染有多项危险因素,控制并改善这些因素是减少或避免术后感染的有效措施。笔者回顾国内外研究结果并结合团队临床经验,探讨肝切除术后感染类型、危险因素及其防治策略。

     

    Abstract: Liver resection is an important method for the treatment of benign and malig-nant hepatobiliary diseases. Due to severe surgical injury, complicated surgical procedures and operation difficulty, the postoperative complications are relatively more common, and infections are the frequent complications. Postoperative infection not only increases the economic burden and treatment difficulty of patients, but also affects the prognosis. There are many risk factors leading to postoperative infection. Controlling and improving these factors are effective measures to reduce or avoid postoperative infection. By reviewing the domestic and abroad literatures, and combined with the clinical experiences, the authors discuss the types of postoperative infection, the related risk factor and the corresponding prevention and treatment strategies after liver resection.

     

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