Lee Seong K, Carrillo Eddy H
Division of Trauma Services, Memorial Regional Hospital, Hollywood, Florida 33021, USA.
Am Surg. 2007 Mar;73(3):201-6.
Because of advances in noninvasive imaging techniques and a better understanding of the natural history of hepatic injuries; currently, most patients with complex liver injuries are treated in a nonoperative manner. Additionally, the availability of less invasive procedures has expanded dramatically the treatment options for these patients, optimizing the outcomes of initial nonoperative management. Even though nonoperative management has become the standard of care in patients with complex liver injuries in most trauma centers in the United States, surgeons should not hesitate to operate on a patient to control life-threatening hemorrhage.
由于非侵入性成像技术的进步以及对肝损伤自然病程的更好理解；目前，大多数复杂肝损伤患者采用非手术方式治疗。此外，侵入性较小的手术方法的出现极大地扩展了这些患者的治疗选择，优化了初始非手术治疗的效果。尽管在美国大多数创伤中心，非手术治疗已成为复杂肝损伤患者的标准治疗方法，但外科医生在面对危及生命的出血患者时，应毫不犹豫地进行手术。
