[摘要] 目的 探讨上腹部手术后并发胸腔积液的发病机制、诊断、治疗及预防措施。方法 对我院2006年4月~ 2009年7月收治的17例上腹部手术后并发胸腔积液的临床资料进行回顾性分析。结果 17例患者中脾切除术5例(29%),脾切除+断流术3例(17%),肝切除术3例(17%),胃癌根治术3例(17%),开腹胆囊切除术1例(6%),肝破裂修补术2例(14%)。所有患者采取对症治疗后均痊愈出院。结论 有效的围手术期预防可降低此病的发生率,及时、准确的诊断与治疗是此病预后的关键。

    [关键词] 上腹部手术; 胸腔积液

    [中图分类号] R656;R561.3 [文献标识码] A [文章编号] 1673-9701(2010)15-120-02

    Pleural Effusion Due to Upper Abdominal Surgery:A Report of 17 Cases

    WANG Dawei

    Daqing City Longfeng District People’s Hospital,Daqing 163711,China

    [Abstract] ObjectiveTo explore the pathogenesis,diagnosis,treatment and prophylaxis of pleural effusion due to upper abdominal surgery. MethodsSeventeen cases of pleural effusion due to upper abdominal surgery treated in our hospital from April 2006 to July 2009 were analyzed retrospectively. ResultsIn 17 cases,5 cases(29%) received splenectomy,3 cases(17%) received splenectomy with disconnection,3 cases(17%) received hepatectomy,3 cases(17%) received radical gastrectomy for cancer,1 case(6%) received exploratory cholecystectomy and 2 case(14%) received hepatorrhexis repair. All cases received effective treatment and recovered. ConclusionEffective perioperative prevention can reduce the incidence of the disease. Timely,accurate diagnosis and treatment are keys to its disease prognosis. ......