Cui Hongyi, Luckeroth Patricia, Peralta Ruben
Division of Trauma and Surgical Critical Care, University of Massachusetts Medical School, Worcester, MA, USA.
J Laparoendosc Adv Surg Tech A. 2007 Apr;17(2):219-22. doi: 10.1089/lap.2006.0045.
We describe the case of a 48-year-old woman who underwent emergent diagnostic and therapeutic laparoscopy after sustaining two self-inflicted abdominal stab wounds. After evacuation of approximately 1.5 L hemoperitoneum, a through-and-through liver injury with active bleeding was locally packed with hemostatic agents (Surgicel and Avitene) to achieve successful hemostasis. The patient also underwent systematic exploration of the abdominal cavity, which was free of associated injury. She had an uneventful recovery. This case adds to the growing evidence supporting the role of therapeutic laparoscopy in the safe management of carefully selected stable patients with penetrating abdominal trauma.
我们描述了一名48岁女性的病例，她在自伤腹部两处刺伤后接受了急诊诊断性和治疗性腹腔镜检查。在抽出约1.5升腹腔积血后，对一处贯通性肝损伤伴活动性出血部位局部填充止血剂（外科用氧化纤维素和微纤维胶原止血剂）以成功止血。患者还接受了腹腔系统探查，未发现相关损伤。她恢复顺利。该病例进一步证明了治疗性腹腔镜检查在精心挑选的稳定型腹部穿透伤患者安全管理中的作用，相关证据日益增多。
