| 选择性肝血流阻断处理创伤性肝右叶损伤 |
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| 引用本文： | 曹钧,卢绮萍,张智勇,曹廷加,刘安重,冯毓灵. 选择性肝血流阻断处理创伤性肝右叶损伤[J]. 腹部外科, 2009, 22(6): 340-342 |
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| 作者姓名： | 曹钧 卢绮萍 张智勇 曹廷加 刘安重 冯毓灵 |
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| 作者单位： | 广州军区武汉总医院普通外科,武汉,430070;广州军区武汉总医院普通外科,武汉,430070;广州军区武汉总医院普通外科,武汉,430070;广州军区武汉总医院普通外科,武汉,430070;广州军区武汉总医院普通外科,武汉,430070;广州军区武汉总医院普通外科,武汉,430070 |
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| 摘 要： | 目的探讨应用选择性肝血流阻断技术手术治疗严重肝右叶创伤的临床意义。方法回顾性分析我院自2001年3月至2008年7月应用选择性肝血流阻断技术治疗创伤性肝右叶损伤98例的临床资料。结果本组救治成功77例（78．57％），死亡21例（21．43％）。其中，因伤势严重术中死亡5例（Ⅵ级3例，Ⅴ级2例），术后因严重多发伤和各种并发症死亡16例。结论根据肝脏损伤的情况采取适宜的肝血流阻断技术可有效控制出血，有利于严重肝损伤的救治。
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| 关 键 词： | 肝 创伤和损伤 消化系统外科手术 |
Application of selective hepatic vascular occlusion in treatment of severe right lobe injury |
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| Affiliation: | CAO Jun, LU QI-ping , ZHANG Zhi-yong , et al. (Department of General Surgery, Wuhan General Hospital, Guangzhou Command of PLA , Wuhan 430070, China) |
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| Abstract: | Objective To explore the clinical evaluation of selective hepatic vascular occlusion in treatment of severe right lobe injury. Methods Ninety-eight cases of severe right lobe injury treated by selective hepatic vascular occlusion from March 2001 to July 2008 were analyzed retrospectively. Results Seventy-seven cases（78. 57 %）were cured, and there were 21 deaths （21.43 %）, including 5 perioperative deaths due to severe trauma（3 eases of grade Ⅵ and 2 cases of grade grade） ,and 6 postoperative deaths due to severe multiple trauma and complications. Conclusion Selective hepatic vascular occlusion can control bleeding effectively and improve therapeutic effectiveness in treatment of severe right lobe injury. |
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| Keywords: | Liver Wounds and injuries Digestive system surgical procedures |
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