Sanders D W, Andrews D A
Department of Surgery, Summa Health System, Akron, Ohio 44304, USA.
J Pediatr Surg. 2000 Oct;35(10):1503-5. doi: 10.1053/jpsu.2000.16425.
Nonoperative management of solid organ injury in children with blunt abdominal trauma represents the standard of care. In rare cases, a major duct injury with persistent bile leakage may result from blunt trauma to the liver. This injury is of concern in patients treated nonoperatively because it generally must be treated with major abdominal surgery. The authors describe a case of hepatic duct injury from blunt trauma in which healing occurred without surgical repair or resection.
钝性腹部创伤患儿实体器官损伤的非手术治疗是标准的治疗方法。在极少数情况下，肝脏钝性创伤可能导致主要胆管损伤并持续胆汁漏出。这种损伤在接受非手术治疗的患者中值得关注，因为通常必须通过大型腹部手术进行治疗。作者描述了一例钝性创伤导致肝管损伤的病例，该病例未经手术修复或切除而愈合。
