Létoublon C, Arvieux C
Universitary Hospital of Grenoble, Hopital Michallon, Grenoble, France.
Minerva Anestesiol. 2002 Apr;68(4):132-7.
Over the past 15 years, there have been dramatic changes in the management of blunt hepatic trauma, specifically in the imaging techniques, and in the non-operative management. Actually, in more than 80% of blunt hepatic trauma, non operative management is used. In the last 20% the surgical option has to be taken without delay, sometimes in extreme emergency, using the adapted surgical techniques. In this article the author describes the nonoperative management of blunt hepatic trauma: classification, presentation, initial decision, treatment, possible complications and results.
在过去15年中，钝性肝外伤的处理发生了巨大变化，特别是在成像技术和非手术治疗方面。实际上，超过80%的钝性肝外伤采用非手术治疗。在其余20%的病例中，必须立即采取手术治疗，有时是在极端紧急情况下，采用适当的手术技术。在本文中，作者描述了钝性肝外伤的非手术治疗：分类、表现、初始决策、治疗、可能的并发症及结果。
