Giest H, Wolff H, Kursawe R, Mau H
Klinik für Chirurgie, Bereichs Medizin (Charité) der Humboldt-Universität zu Berlin.
Zentralbl Chir. 1990;115(3):149-56.
Despite of severity of posttraumatic liver lesions after blunt abdominal trauma the availability of modern imaging diagnostic methods has changed the therapeutic concept. Nonoperative treatment attained an alternative place to operative procedures. For this kind of treatment personal and technical premises are mandatory. With ultrasound and computed tomography are non-invasive methods for diagnosis available. Paracentesis has lost of importance. This report of 7 children with liver laceration within 6 years discuss diagnostic and therapeutic practice. Decision for operative or nonoperative treatment depends on critical evaluation.
尽管钝性腹部创伤后创伤性肝损伤严重，但现代影像诊断方法的出现改变了治疗理念。非手术治疗已成为手术治疗的替代方法。对于这种治疗，个人和技术前提是必不可少的。超声和计算机断层扫描是可用的非侵入性诊断方法。腹腔穿刺术已不再重要。本报告讨论了6年内7例肝裂伤患儿的诊断和治疗实践。手术或非手术治疗的决定取决于严格的评估。
