肝脏手术中普林格尔手法操作时的自发性脾破裂。
Spontaneous splenic rupture during Pringle maneuver in liver surgery.
作者信息
van Buijtenen Jesse M, Lamme Bas, Hesselink Erik J
机构信息
Jesse M van Buijtenen, Department of Surgery, Westfriesgasthuis, PO Box 600, AR Hoorn Hoorn 1620, The Netherlands.
出版信息
World J Hepatol. 2010 Jun 27;2(6):243-5. doi: 10.4254/wjh.v2.i6.243.
Abstract
During liver resection clamping of the hepato-duodenal ligament (the Pringle maneuver) is performed to reduce intraoperative blood-loss. During this maneuver acute portal hypertension may lead to spontaneous splenic rupture requiring rapid splenectomy in order to control blood loss. We present 2 case of patients with hemorrhage from the spleen during clamping for liver surgery. A review of the literature with an emphasis on the pathophysiology of splenic hemorrhage is presented.
摘要
在肝切除术中，会进行肝十二指肠韧带钳夹（普林格尔 maneuver）以减少术中失血。在此操作过程中，急性门静脉高压可能导致自发性脾破裂，需要迅速进行脾切除术以控制出血。我们报告了 2 例肝手术钳夹期间脾脏出血的患者。本文对文献进行了综述，重点阐述了脾出血的病理生理学。
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本文引用的文献
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Randomized clinical trial of liver resection with and without hepatic pedicle clamping.肝门阻断与非肝门阻断肝切除术的随机临床试验
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