Gupta S S, Ahluwalia S M, Anantharam P
Department of Surgery, L.T.M. General Hospital, Sion, Bombay, Maharashtra.
J Postgrad Med. 1990 Jul;36(3):131-5.
One hundred and five consecutive patients who sustained liver trauma during the period from Jan 1986 to Dec 1988 are reviewed. Of these, 82 cases suffered from blunt abdominal injury while the rest had penetrating trauma. Simple hepatorrhaphy and use of topical hemostatic agents were the only modes of treatment for 76 cases, hepato-omentorrhaphy was used in 12 cases and hepatotomy with selective vascular ligation and resectional debridement were carried out in remaining 17 cases. Mortality was 36.2% (38/105), 30 patients died of shock in the perioperative period. Uncomplicated recovery occurred in 50 cases.
回顾了1986年1月至1988年12月期间连续收治的105例肝外伤患者。其中，82例为腹部钝性伤，其余为穿透性创伤。76例患者仅采用单纯肝缝合术和局部止血剂治疗，12例采用肝-网膜缝合术，其余17例进行了肝切开术、选择性血管结扎和切除清创术。死亡率为36.2%（38/105），30例患者在围手术期死于休克。50例患者康复顺利。
