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中文摘要：
目的总结精细肝切除治疗原发性肝癌术后并发症的原因及防治经验。方法回顾性分析安徽省立医院2008年8月-2011年10月行精细肝切除的120例原发性肝癌患者临床资料，对手术后发生的并发症及处理进行总结。结果精细肝切除术后出现并发症19例，其中胸腔积液7例，肺部感染3例，腹腔继发出血1例，上消化道出血2例，腹腔脓肿1例，肝功能衰竭1例，胆瘘1例，切口感染2例，泌尿道感染1例。结论精细肝切除因其术前精确评估、术中精细操作、术后精良管理，使得术后并发症发病率明显降低。
英文摘要：
Objective To summarize the complications after precise hepatectomy for primary liver cancer and explore the prevention experiences. Methods The clinical data of 120 primary liver cancer patients who underwent precise hepatectomy in Anhui Provincial Hospital from August 2008 to October 2011 were ret- rospectively analyzed. The common complications after hepateetomy and the management measures of the complications were studied. Results Related complications were found in 19 cases, including 7 cases of pleural effusion, 3 cases of pneumonia, 1 case of intra- abdominal hemorrhage, 2 cases of up gastrointestinal bleeding, 1 case of abdominal abscess, 1 case of hepatic failure, 1 case of bile leakage, 2 cases of would in- fection, 1 case of urinary tract infection. Conclusions Precise hepatectomy has characteristics of preopera- tive accurate assessment, intraoperative fine operation and postoperative excellent management, which reduce the incidence of postoperative complications.
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