A CLINICAL-STUDY ON THE POSTOPERATIVE PROGNOSIS OF 168 CASES OF SURGICAL HYPERBILIRUBINEMIA

It's universally acknowledged that the mortality rate of postoperative patients with obstructive jaundice is higher than that of the non-ict eric. Opinions, however, differ as to wheter the mortality rate goes u p with the worsening of jaundice. Some even regard hyperbilirubinemia as a contraindication in operation. The present article through a clin ical research of 168 cases suggested that postoperative mortality regi stered of severity of bilirubinemia was not a major factor affecting t he postoperative prognosis. The 4 preoperative complications: hypoprot einemia, hepatocirrhosis, portal hypertension and acute cholangitis we re responsible for postoperative prognosis, the conclusion is hyperbil irubinemia is not a contraindication in operation. A great portion of the patients should be given active operation to intercept persistant injury on liver and prevent the occurrence of acute cholanitis. To red uce the postoperative mortality, the treatment to be adopted is not to arrange biliary drainage before operation but to improve the patients general conditions by eliminating the complications mentioned above.