肝胆外科A区手术

1、肝胆外科a区手术回顾2012.12.26 2013.01.15southwest hepatobiliary hospital 1 1southwest hepatobiliary hospital 一 般 资 料 southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hos

2、pital v术后病理术后病理:（左半肝）（左半肝）低分化癌，结合病史低分化癌，结合病史及免疫表型，考虑为及免疫表型，考虑为转移性基底细胞样鳞转移性基底细胞样鳞状细胞癌，状细胞癌，v慢性胆囊炎慢性胆囊炎v恢复良好，已出院。恢复良好，已出院。southwest hepatobiliary hospital 2 2southwest hepatobiliary hospital 一 般 资 料 southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital sout

3、hwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital v术后病理未回。术后病理未回。v患者术后第患者术后第5天出现间断畏寒高热，给予对症处天出现间断畏寒高热，给予对症处理后，症状未缓解，后出现血压下降，考虑感染理后，症状未缓解，后出现血压下降，考虑感染性休克表现，遂给予积极抗休克抢救治疗。行床性休克表现，遂给予积极抗休克抢救治疗。行床旁旁胸片提示：双下肺感染，左侧胸膜腔少量积旁旁胸片提示：双下肺感染，左侧胸膜腔少量积液。床旁液。床旁b 超提示左肝内叶不均质回声

4、区，呈蜂超提示左肝内叶不均质回声区，呈蜂窝样改变，给予行腹腔穿刺置管引流，同时给予窝样改变，给予行腹腔穿刺置管引流，同时给予置换颈内深静脉导管，加强抗感染等对症治疗。置换颈内深静脉导管，加强抗感染等对症治疗。目前患者病情稳定，未出现高热表现，在监护室目前患者病情稳定，未出现高热表现，在监护室继续密切观察治疗。继续密切观察治疗。southwest hepatobiliary hospital 3 3southwest hepatobiliary hospital 一 般 资 料 southwest hepatobiliary hospital southwest hepatobiliary ho

5、spital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital v术后病理：（右术后病理：（右肝）中分化肝细肝）中分化肝细胞性肝癌胞性肝癌v恢复良好，在院恢复良好，在院治疗。治疗。southwest hepatobiliary hospital 4 4southwest hepatobiliary hospital 一 般 资 料 southwest hepatobiliary ho

6、spital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital v术后病理：符合（肝术后病理：符合（肝脏）高分化肝细胞性脏）高分化肝细胞性肝癌肝癌v目前恢复顺利，在院目前恢复顺利，在院治疗。治疗。southwest hepatobiliary hospital 5 5southwest hepatobiliary ho

7、spital 一 般 资 料 southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital v术后病理：（右术后病理：（右肝）肝细胞性肝肝）肝细胞性肝癌（癌（级）级）v恢复顺利，在院恢复顺利，在院治疗。治疗。southwest hepatobiliary hospi

8、tal 6 6southwest hepatobiliary hospital 一 般 资 料 southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobilia

9、ry hospital v术后病理：（肝脏）术后病理：（肝脏）中分化肝细胞性肝癌中分化肝细胞性肝癌伴肝内转移，累及胆伴肝内转移，累及胆囊壁囊壁v在院治疗，恢复顺利。在院治疗，恢复顺利。southwest hepatobiliary hospital 7 7southwest hepatobiliary hospital 一 般 资 料 southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospital

10、 southwest hepatobiliary hospital southwest hepatobiliary hospital v术后病理：（右）肝术后病理：（右）肝细胞性肝癌（中分化）细胞性肝癌（中分化）伴淋巴结转移伴淋巴结转移3/3慢性慢性胆囊炎胆囊炎v恢复顺利，在院治疗。恢复顺利，在院治疗。southwest hepatobiliary hospital 8 8southwest hepatobiliary hospital 一 般 资 料 southwest hepatobiliary hospital southwest hepatobiliary hospital southwest hepatobiliary hospi