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[复杂腹部创伤性损伤中采用填塞法的肝脏止血:适应证及术后结果]

[Hepatic hemostasis with packing in complex abdominal traumatic lesions: indications and postoperative outcomes].

作者信息

Mazilu O, Cnejevici S, Stef D, Istodor A, Dabelea C, Fluture V

机构信息

Clinica de Chirurgie de Urgenţă, Spitalul Clinic Municipal, Timişoara.

出版信息

Chirurgia (Bucur). 2009 Nov-Dec;104(6):715-8.

Abstract

UNLABELLED

The purpose of this study is to review our postoperative outcomes with liver packing in complex abdominal trauma.

PATIENTS AND METHODS

76 liver trauma were admitted for operative procedures in the Surgical Department of City Hospital Timisoara between April 1994 - September 2009 and 16 cases were identified in our series as requiring liver packing. In all cases, this method was efficient, with no postoperative bleeding. In the same time, there were specific complications such as bile leak or abdominal collections.

CONCLUSIONS

despite a second procedure for packs removal and the possibility for specific complications, liver packing is an efficient method for severe liver trauma or complex abdominal lesions.

摘要

未标注

本研究的目的是回顾我们在复杂腹部创伤中采用肝脏填塞术的术后结果。

患者与方法

1994年4月至2009年9月期间,蒂米什瓦拉市立医院外科收治了76例肝外伤患者接受手术治疗,我们的系列病例中有16例被确定需要进行肝脏填塞。在所有病例中,该方法均有效,无术后出血情况。同时,出现了诸如胆漏或腹腔积液等特定并发症。

结论

尽管需要进行第二次取出填塞物的手术,且存在特定并发症的可能性,但肝脏填塞术仍是治疗严重肝外伤或复杂腹部损伤的有效方法。

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