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Hyperlactemia associated with secondary hepatocellular carcinoma resection in relation to circulation stability and quality of recovery:A case report

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World Journal of Clinical Cases 2023年第8期11卷 1869-1877页

作者： Yu Meng Huan-Shuang Pei Jia-Jia Yu Department of Anesthesiology The Fourth Hospital of Hebei Medical UniversityShijiazhuang 050000Hebei ProvinceChina

BACKGROUND Intraoperative hyperlactatemia often affects circulatory stability,vital organ function,and postoperative recovery,poses a serious prognostic risk,and requires considerable attention from ***,we describe a case of hyperlactatemia during the postoperative resection of liver metastases after chemotherapy for sigmoid colon *** did not affect the patient's circulatory stability or quality of awakening,which is rarely reported in clinical *** present our management experience with the aim of providing a reference for future studies and clinical *** SUMMARY A 70-year-old female patient was diagnosed with postoperative liver metastasis following chemotherapy for sigmoid colon *** right hemicolectomy and cholecystectomy under general anesthesia were *** disorders,primarily hyperlactatemia,often occur *** treatment,other indices quickly returned to normal,lactate levels decreased slowly,and hyperlactatemia persisted during the awakening ***,this did not affect the patient's circulatory stability or awakening *** condition has rarely been clinically ***,we report our management experience in order to guide clinical practice in this *** did not affect circulatory stability or the quality of *** considered that active intraoperative rehydration avoided serious harm to the organism caused by hyperlactatemia due to insufficient tissue perfusion,while hyperlactatemia caused by decreased lactate clearance due to impaired liver function associated with surgical resection had a mild effect on the function of important *** Active intraoperative rehydration avoided serious harm to the organism caused by *** body temperature protection could improve lactate circulation.

关键词： Circulation Hyperlactatemia Laparoscopy quality of awakening Secondary hepatocellular carcinoma Case report

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