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外伤性肝破裂救治方式的选择(附58例报告)
引用本文:吕俊忠,何维杰.外伤性肝破裂救治方式的选择(附58例报告)[J].厦门大学学报(自然科学版),1995,34(6):999-1002.
作者姓名:吕俊忠  何维杰
作者单位:厦门大学医院,上海市第七人民医院
摘    要:对58例外伤性肝破裂采用不同方式进行手术治疗,治愈54例,死亡5例。肝破裂后病情多凶险,急诊处理须简单、快速、有效,力求诊断与治疗同步,尽量缩短急诊至手术治疗的时间。根据不同的损伤选择不同的手术方式,以止血,清创和引流为基本原则。30例采用肝血回输,未发生不良反应。

关 键 词:外伤性  肝破裂  肝动脉结扎术  不规则肝叶切除

Selection of Method for Treating Traumatic Hepatorrhexis
Lu Junzhong,He Weijei,Chen Yao,Zhao Bin.Selection of Method for Treating Traumatic Hepatorrhexis[J].Journal of Xiamen University(Natural Science),1995,34(6):999-1002.
Authors:Lu Junzhong  He Weijei  Chen Yao  Zhao Bin
Abstract:patients with traumatic hepatorrhexis were treated surgically;54 patientswere cured and 4 died(death rate 6.9%).Considering the dangerous situation in the case ofhepatorrhexis,emergency measures should be simple,quick and effective,which means thatdiagnosis and treatment undergo simuItaniously,so that the time from emergency to operationcould be reduced to minimum0. Based on hemostasis,epluchage and drainage,different methordswere selected.In this guoup 30 patients received hepatic blcod backtransfusion,No patientshowed adverse reaction.
Keywords:Traumatic hepatorrhexis  Hepatic artery Ligation  Irregularhepatolobectomy  Hepatic blood backtransfusion  
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