| Treatment of 209 cases of liver injury |
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| 引用本文： | 麻晓林,蒋耀光,杨志焕. Treatment of 209 cases of liver injury[J]. 中华创伤杂志(英文版), 2004, 7(1): 28-31 |
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| 作者姓名： | 麻晓林 蒋耀光 杨志焕 |
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| 作者单位： | PLACenterforTreatmentofTraumaandWarInjury,ResearchInstituteofFieldSurgery,DapingHospital,ThirdMilitaryMedicalUniversity,Chongqing400042,China |
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| 摘 要： | Objective: To summarize the experience of the treatment of traumatic hepatorrhexis. Methods: The clinical data of 209 cases of liver trauma treated in the three affiliated hospitals of the Third Military Medical University from 1989 to 1999 were retrospectively analyzed. Among the 209 patients, 108 (51.7%) had Grade Ⅲ or more severe liver injury. Operative treatment was performed in 186 cases and preservative treatment in 23. Results: In the operated group, 169 patients were cured. The eomplications occurred in 18 patients and 17 of them died. In the non-operated group, the complications occurred in 22 patients and only 1 of them died. Conclusions： Severe injury and delayed treatment are two major factors leading to death from liver injuries.Surgical intervention is still the principal measure to treat traumatic hepatorrhexis. The indications for non-operative treatment should be carefully selected.
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| 关 键 词： | 创伤性肝损伤 腹部创伤 外科治疗 保守疗法 并发症 预后 |
Treatment of 209 cases of liver injury |
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| MA Xiao lin ,JIANG Yao guang and YANG Zhi huan PLA Center for Treatment of Trauma and War Injury,Research Institute of Field Surgery,Daping Hospital,Third Military Medical University,Chongqing ,China. Treatment of 209 cases of liver injury[J]. Chinese journal of traumatology, 2004, 7(1): 28-31 |
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| Authors: | MA Xiao lin JIANG Yao guang YANG Zhi huan PLA Center for Treatment of Trauma War Injury Research Institute of Field Surgery Daping Hospital Third Military Medical University Chongqing China |
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| Affiliation: | PLA Center for Treatment of Trauma and War Injury, Research Institute of Field Surgery, Daping Hospital, Third Military Medical University, Chongqing 400042, China |
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| Abstract: | Objective: To summarize the experience of the treatment of traumatic hepatorrhexis. Methods: The clinical data of 209 cases of liver trauma treated in the three affiliated hospitals of the Third Military Medical University from 1989 to 1999 were retrospectively analyzed. Among the 209 patients, 108 ( 51.7 %) had Grade III or more severe liver injury. Operative treatment was performed in 186 cases and preservative treatment in 23. Results: In the operated group, 169 patients were cured. The complications occurred in 18 patients and 17 of them died. In the non operated group, the complications occurred in 22 patients and only 1 of them died. Conclusions: Severe injury and delayed treatment are two major factors leading to death from liver injuries. Surgical intervention is still the principal measure to treat traumatic hepatorrhexis. The indications for non operative treatment should be carefully selected. |
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| Keywords: | Wounds and injuries Liver Hemostasis surgical |
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