|
|||||
|
|
| 肝外伤伴肝后静脉损伤的处理 | |
| 引用本文： | 周日光,吕新生,韦杨义. 肝外伤伴肝后静脉损伤的处理[J]. 中华创伤杂志, 2003, 19(5): 290-292 |
| 作者姓名： | 周日光 吕新生 韦杨义 |
| 作者单位： | 1. 518116,深圳市龙岗中心医院普通外科 2. 中南大学湘雅医院普通外科 3. 湖南中医学院第一附属医院普通外科 |
| 摘 要： | 目的 探讨肝外伤伴肝后静脉损伤的处理方法，以提高肝外伤伴肝后静脉损伤的外科治疗水平。方法 采用分步全肝血流阻断下显露修补、直接压迫下显露修补、缝扎肝静脉、缝合修补肝组织、纱布填塞等5种方法处理肝外伤伴肝后静脉损伤23例。结果 治愈18例(78．3％)，死亡5例(21．7％)。结论 术前合理的急救复苏、术中正确的综合手术治疗，是提高肝外伤伴肝后静脉损伤疗效的关键。 |
| 关 键 词： | 肝外伤 肝后静脉损伤 全肝血流阻断下显露修补术 直接压迫下显露修补术 肝静脉缝扎术 肝组织修补术 纱布填塞术 |
| 修稿时间： | 2002-12-18 |
Management of liver injury combined with posthepatic vein injuries |
|
| ZHOU Ri-guang,LU Xin-sheng,WEI Yang-yi. Management of liver injury combined with posthepatic vein injuries[J]. Chinese Journal of Traumatology, 2003, 19(5): 290-292 | |
| Authors: | ZHOU Ri-guang LU Xin-sheng WEI Yang-yi |
| Affiliation: | ZHOU Ri-guang*,LU Xin-sheng,WEI Yang-yi. * Department of General Surgery,Central Hospital of Longgang,Shengzhen 518116,China |
| Abstract: | Objective To explore the management methods for liver injury combined with posthepatic vein injuries in order to make an improvement in corresponding treatment. Methods Twenty-three cases with liver injury combined with posthepatic vein injuries were treated with the following 5 ways: repairing the hepatic vascular blockage step-by-step, pressing directly to exhibit the injured vessels for repair, ligating the injured hepatic veins, suturing the hepatic tissues and packing with gauze. Results Of all, 18 cases (78.3%) were cured and 5 (21.7%) died. Conclusions Rational preoperative emergent resuscitation and correct complex intraoperative management are key to the liver injury combined with posthepatic vein injuries. |
| Keywords: | Wounds and injuries Hepatic veins Surgical procedures operative |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |