Several unusual manifestations such as white bile draining in common bile duct (14 cases) and casual massive bleeding (2 cases ) during and following hepatobiliary and pancreatic operations is reported. These manifestations were in fact signs of hepatic insufficiency. The manners of manifestations of hepatic insufficiency and their treatment are discussed, with a stress that liver-protective treatment and nutritional support are the fundamental modalities.
Citation：
Wen Tianfu,Li Li,Luo Yanxia,et al.. UNUSUAL MANIFESTATIONS AND THEIR TREATMENT OF HEPATIC INSUFFICIENCY. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1998, 5(4): 220-221. doi:
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Ozawa K, Fujimoto T, Nakatani T,et al. Changes in hepatic energy charge, blood ketone body ratio and indocyanine green clearance in relation to DNA synthesis after hepatectomy. Life Sci, 1982; 31(7)∶647.
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文天夫，郑光琪，孟宪钦等.葡萄糖耐量试验评价肝癌患者肝脏储备功能的价值.华西医科大学学报，1997； 28(2)∶197.
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Ozawa K, Nakatani T, Yamada T, et al.Early metabolic distrubance in the liver following hepatic bile duct ligation in rabbits. Eur Surg Res, 1979; 11(1)∶61.
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Nashizaki T, Udo L, Lahama M, et al.Nutritional support after hepatic resection：a randomized prospective study. Hepatogastroenterology, 1996; 43(9)∶608.
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| 7. |
文天夫，郑光琪.肝癌围手术期肝脏储备功能的测定.国外医学外科分册，1988； 9(9)∶547.
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- 1. Ozawa K, Ida T, Yamada T, et al. Significance of glucose tolerance test as prognosive sign in hepatectomized patients. Am J Surg, 1976; 131(5)∶541.
- 2. Ozawa K, Fujimoto T, Nakatani T,et al. Changes in hepatic energy charge, blood ketone body ratio and indocyanine green clearance in relation to DNA synthesis after hepatectomy. Life Sci, 1982; 31(7)∶647.
- 3. 文天夫，郑光琪，孟宪钦等.糖耐量和胰岛素分泌试验预测肝癌手术风险的价值.中华外科杂志， 1989； 27(10)∶597.
- 4. 文天夫，郑光琪，孟宪钦等.葡萄糖耐量试验评价肝癌患者肝脏储备功能的价值.华西医科大学学报，1997； 28(2)∶197.
- 5. Ozawa K, Nakatani T, Yamada T, et al.Early metabolic distrubance in the liver following hepatic bile duct ligation in rabbits. Eur Surg Res, 1979; 11(1)∶61.
- 6. Nashizaki T, Udo L, Lahama M, et al.Nutritional support after hepatic resection：a randomized prospective study. Hepatogastroenterology, 1996; 43(9)∶608.
- 7. 文天夫，郑光琪.肝癌围手术期肝脏储备功能的测定.国外医学外科分册，1988； 9(9)∶547.
