期刊文献+

手术治疗Ⅴ级肝损伤7例分析 被引量:1

下载PDF
导出
摘要 目的探讨V级肝损伤的手术治疗方法。方法回顾性分析7例V级肝损伤手术治疗患者的临床资料,其中4例行第一肝门处门静脉右支缝合修补为主的复杂手术,1例行部分尾状叶切除及肝短静脉修补为主手术,1例行左肝动脉内支吻合为主的肝破裂修补术,1例行左肝静脉修补为主手术。结果 1例患者术后第10天因脑疝死亡,其余6例患者术后治愈出院。术后并发症中有1例胆漏和腹腔感染,1例肝脓肿,1例术后第4天腹腔出血。结论对V级肝损伤的手术治疗,可根据具体损伤部位、损伤程度及合并伤的情况选择有针对性的手术方式治疗,以取得较好的疗效。
作者 项良光 陈坚
出处 《福建医药杂志》 CAS 2015年第2期64-66,共3页 Fujian Medical Journal
  • 相关文献

参考文献5

  • 1丁义涛.肝外伤的处理原则[J].肝胆外科杂志,2008,16(6):412-415. 被引量:7
  • 2Moore E E, Cogbill T H, Jurkovieh G J, et al. Organ injury scaling: Spleen and liver (1994 revision) [J]. Trauma, 1995, 38 (3): 323-324. 被引量:1
  • 3Glorsky S L, Wonderlieh D A, Goei A D. Evaluation and man- agement of the trauma patient for the interventional radiologisl [J]. Semin Intervent Radiol, 2010, 27 (1): 29-37. 被引量:1
  • 4Harper K, Shah K H. Renal trauma a[ter blunt abdominal iniu ry [J]. J EmergMed, 2013, 45 (3): 400-404. 被引量:1
  • 5Harris T, Davenport R, Hurst T, et al. Improving outcome in severe trauma: what's new in ABC Imaging, bleeding and brain injury [J]. Postgrad MedJ, 2012, 88 (1044): 595-602. 被引量:1

二级参考文献14

  • 1陈孝平,张志伟.肝外伤的诊断和治疗[J].腹部外科,2006,19(4):211-212. 被引量:29
  • 2Gourgiotis S, Vougas V, et al. Operative and nonoperative management of blunt hepatic trauma in adults: a single-center report [J]. J Hepatobiliary Pancreat Surgy , 2007,14(4) :387 -391. 被引量:1
  • 3Moore EE, Co gbill TH, Jurkovich OJ, et al. Organ injury scaling : Spleen and liver( 1994 revision) [ J]. J Trauma, 1995,38:323 - 324. 被引量:1
  • 4Rozycki GS, Ochsner MG, Schmidt JA, et al. A prospective study of surgeon-performed ultrasound as the primary adjuvant modality for injured patient assessment[ J]. J Trauma, 1995,39:492 - 498. 被引量:1
  • 5Sherman HF, Savage BA, Jones LM,et al. Nonoperative management of blunt hepatic injuries : safe at any grade [ J ] ? J Trauma, 1994,37:616 - 621. 被引量:1
  • 6Markogiannakis H, Sanidas E, et al. Predictive factors of operative or nonoperative management of blunt hepatic trauma[ J]. Minerva Chir, 2008,63 ( 3 ) :223 - 228. 被引量:1
  • 7Lee SK, Carrillo EH, Advances and changes in the management of liver injuries [ J ]. Am Surg,2007,73 ( 3 ) :201 - 206. 被引量:1
  • 8Paquet J, Dziri C, Hay J, Fingerhut A, Zeitoun G, Suc B, Sastre B. French Associations for Surgical Research. Prevention of deep abdominal complications with omentoplasty on the raw surface after hepatic resection [ J ]. Am J Surg ,2000 ,179 : 103 - 109. 被引量:1
  • 9Moore EE. Staged laparotomy for the hypothermia, acidosis, and coagulopathy syndrome[ J]. Am J Surg, 1996,172:405 - 410. 被引量:1
  • 10Mackenzie S, Kortbek JB, et al. Recent experiences with a multi- disciplinary approach to complex hepatic trauma [ J]. Injury, 2004,35 (9) : 869 - 877. 被引量:1

共引文献6

同被引文献9

引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部