Shanturov V A, Tiuriumina E E, Gumerov R R, Fadeeva T V, Kogan A S, Grigor'ev E G
Khirurgiia (Mosk). 2002(2):23-7.
78 patients aged from 14 to 73 years (57 men, 21 women) with complications after trauma of the liver were studied. Minimally invasive operations (puncture, drainage, puncture + drainage) were performed in 62 (79%) patients. 8 patients with small bilema received conservative treatment under visual follow-up. 8 patients with middle and big posttraumatic lesions not treated with minimally invasive surgery entered control group. Intracavitary prolonged proteolysis with immobilized proteinases (imosimase Literum, Novosibirsk) was used. Imosimase injection led to lysis of thick inflammation products, intensified sanation of focus. There were neither complications nor lethal outcomes. 2 (2.6%) patients were operated. Tissue sequestrum and bleeding were indications for surgery. Efficacy of minimally invasive treatment of posttraumatic lesion of the iver was 96%.
对78例年龄在14至73岁之间（57例男性，21例女性）的肝外伤后并发症患者进行了研究。62例（79%）患者接受了微创手术（穿刺、引流、穿刺+引流）。8例小胆管损伤患者在可视随访下接受保守治疗。8例中度和重度创伤后病变且未接受微创手术治疗的患者进入对照组。采用了腔内固定蛋白酶的长时间蛋白水解疗法（伊莫西酶，新西伯利亚）。伊莫西酶注射导致浓稠炎症产物溶解，病灶愈合加速。既无并发症也无致死病例。2例（2.6%）患者接受了手术。组织坏疽和出血是手术指征。肝外伤后病变的微创治疗有效率为96%。
