Melichar V, Melichar J
Výzkumný ústav traumatologie a speciální chirurgie, Brno.
Rozhl Chir. 1991 Mar;70(3):161-7.
The authors give an account of 11 patients hospitalized in 1975-1988 in the Traumatological Research Institute in Brno with a subcapsular haematoma of the liver. In case of suspected liver injury they use nowadays examination by ultrasound. Laparotomy must not be delayed in patients with unstable vital functions only because of various diagnostic examinations. The therapeutic success in liver injuries depends on early operation, correct resuscitation and selection of an optimal surgical procedure which depends above all on the type and grade of severity of the injury.
作者介绍了1975年至1988年期间在布尔诺创伤学研究所住院的11例肝包膜下血肿患者。如今,在怀疑有肝损伤的情况下,他们会采用超声检查。对于生命体征不稳定的患者,绝不能仅仅因为各种诊断检查而延迟剖腹手术。肝损伤的治疗成功取决于早期手术、正确的复苏以及选择最佳的手术方法,而这首先取决于损伤的类型和严重程度分级。