| 外伤性肝破裂缝压填塞包埋止血73例治疗体会 |
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| 引用本文： | 潘敏,张义胜. 外伤性肝破裂缝压填塞包埋止血73例治疗体会[J]. 肝胆外科杂志, 2010, 18(6) |
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| 作者姓名： | 潘敏 张义胜 |
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| 作者单位： | 芜湖市第五人民医院外科,芜湖,241000 |
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| 摘 要： | 目的探讨用缝压填塞包埋止血方法治疗外伤性肝破裂的临床价值。方法对针对2000年1月至2009年12月间收治的73例外伤性肝破裂病例的诊断和所采取的合理肝创面手术治疗方法及其预后进行回顾性分析。结果手术治疗73例,治愈66例,死亡7例,主要死因为失血性休克。术后并发切口感染4例,肺部感染3例,败血症2例,肝脓肿3例,肝肾间隙脓肿2例,胆瘘3例,均行抗炎或引流治疗。结论对单纯性外伤性肝破裂,予填塞明胶海绵或带蒂大网膜缝压治疗;重度肝破裂伴肝动脉或肝静脉、下腔静脉出血施行损伤控制性手术,阻断肝动脉,填塞缝压裂口,利用肝周韧带、膈膜缝压包埋压迫肝膈面或带双腔管纱垫填塞肝周止血,这是一种紧急情况下简单有效的处理出血方法,可有效地降低严重肝外伤死亡率。
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| 关 键 词： | 肝外伤 手术 |
TRAUMATIC HEPATIC BLEEDING BROKEN EMBEDDED CRACK FILLING PRESSURE TREATMENT OF 73 CASES |
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| PAN Min,ZHANG Yi-sheng. TRAUMATIC HEPATIC BLEEDING BROKEN EMBEDDED CRACK FILLING PRESSURE TREATMENT OF 73 CASES[J]. Journal of Hepatobiliary Surgery, 2010, 18(6) |
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| Authors: | PAN Min ZHANG Yi-sheng |
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| Abstract: | Objective To study the clinical value of using joint embedding filling pressure haemostasis to cure blunt traumatic rupture of liver.Methods Retrospective analysis is conducted for 73 cases of diagnosises for closed traumatic liver rupture and surgical treatment for liver wound from January 2000 to December 2009.Results 66 cases out of the 73 sergical treatment cases were cured,7 cases died,the main cause of death was hemorrhagic shock.There are 4 cases of postoperative wound infection,3 cases of pulmonary ... |
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| Keywords: | liver injury surgery |
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