Abstract:

Objective To discuss the causes of intra-abdominal bleeding in the early stage after liver transplantation. Methods Clinical data from 89 patients who underwent liver transplant at The Third Hospital of Hebei Medical University from May 2002 to August 2011 were analyzed retrospectively. Results Early stage intra-abdominal bleeding after liver transplant were found in 8 cases，surgical factors were the main causes of intra-abdominal bleeding at early stage after liver trnsplant，coagulation disorders and thrombocytopenia were also important reasons of intra-abdominal bleeding at early stage after liver transplant，especially at the first 24hours. Conclusion To improve the survival rate of patients with perioperative period，the disorders of coagulation should be close monitored and treated，and the risk factors of bleeding should be controlled. At the same time，accumulating and improving the surgical experience and technology also play important roles.

摘要：

目的 探讨肝移植术后早期腹腔出血的原因。方法 回顾性分析河北医科大学第三医院 2002 年 5 月至 2011 年 8 月共施行肝移植病例的出血情况。结果 此期间本院共施行 89 例肝移植，术后早期出现腹腔内出血共 8 例。外科因素是导致肝移植术后早期腹腔出血的主要原因 ；凝血功能紊乱及血小 板减少是术后早期尤其是 24 小时内腹腔出血的重要原因。结论 对肝移植患者，在严密监测和纠正凝血 功能障碍、积累和提高外科经验和技术的同时，注意控制二次手术中的出血相关危险因素，将有助于改善患者围手术期的生存率。