摘要
目的采用肝周填塞以改善肝后静脉损伤手术的治疗效果。方法4年间15例严重肝后静脉损伤（Ⅲ－Ⅴ级），手术采用Pringle法阻断肝蒂后肝内止血或清创切除，或加选择性肝动脉结扎。肝周填塞是处理昨后静脉损伤的主要手段。结果12例严重肝后静脉损伤获救，最大输血量12000毫升；死亡3例，主要死因为合并伤、大失血或并凝血障碍。结论正确操作的肝后填塞和适当的综合措施，对肝后静脉损伤具有明显疗效。
objective: To improve the level of operating treatment of retrohepatic venous trauma by perihepalic packing.Methods During four years, fifteen patients with retrohepatic venous trauma (gradeⅢ -Ⅴ) were treated in our unit. Pringle maneuve, selective hepatic artery ligalion and penhepatic packing were mainly selected. Results Tweleve cases with retrohepatic venous injuries were brought back to life with a maximum transfusion of 12000ml. Besides associated injuries inside and outside the abdomen,exsanguinalion with or without consumption cosgulopthy was the main factor of death. Conclusion It is emphasized that acurate liver packing with appropriately adjunctive procedures is an acceptable technique for retrohepatic venous injdries.
出处
《创伤外科杂志》
1999年第2期76-77,共2页
Journal of Traumatic Surgery
关键词
肝后静脉损伤
肝切除术
肝周填塞
Retrohepatic venous trauma Hepatectomy Perihepatic packing
