Recordare A, Bruno G T, Callegari P, Guarise A, Bassi N
Treviso Hospital, Treviso, Italy.
G Chir. 2011 Apr;32(4):203-5.
Termocoagulation by radiofrequency (RF) is widely used for ablation of liver neoplasms. Recently, innovative uses of RF were proposed, as to assist liver resection, to help partial splenectomy, or to treat ruptured hepatocellular carcinoma. A 21 years old man was admitted for massive haemorrhage from a right thoraco-abdominal knife wound. Massive haemothorax was drained but arterial bleeding was caused by a deep penetrating wound on liver segment VIII. During operation, considering the difficult exposure of the source of bleeding, it was taught to stop haemorrhage using RF termocoagulation, under ultrasonographic guidance. Termocoagulation of the pedicle of the liver segment VIII was performed. In this patient with haemorrhagic shock the RF method for bleeding control was very easy and effective, and avoided risks of morbidity due to a major procedure.
射频热凝术在肝脏肿瘤消融中广泛应用。最近，有人提出射频的创新用途，如辅助肝切除、帮助部分脾切除或治疗破裂的肝细胞癌。一名21岁男性因右胸腹刀伤导致大量出血入院。大量血胸已引流，但肝VIII段的深部穿透伤引起动脉出血。手术过程中，考虑到出血源暴露困难，遂在超声引导下采用射频热凝术止血。对肝VIII段蒂进行了热凝。在这名失血性休克患者中，射频止血方法非常简便有效，避免了因大型手术带来的发病风险。
