Eisner L, Ackermann C, Regazzoni P, Harder F
Helv Chir Acta. 1989 Jan;55(5):593-6.
Case histories of 102 patients with liver trauma were analyzed. 88% sustained blunt and 12% penetrating liver injury. 71% of all patients had a polytrauma. The liver injuries were classified in 4 types. With 25 patients primary resuscitation was unsuccessful, in 12 of these cases even though immediate laparotomy and aortic clamping was performed in the emergency room. In 62 of the remaining 77 patients haemostasis was accomplished with minor surgical procedures (lethality 16%), in 13 cases major surgery had to be performed (lethality 62%). Packing was used in one patient only. Prognosis of liver trauma depends mainly on associated injuries and on severity of liver trauma.
分析了102例肝外伤患者的病历。88%为钝性肝损伤，12%为穿透性肝损伤。所有患者中有71%存在多发伤。肝损伤分为4种类型。25例患者的初始复苏未成功，其中12例即使在急诊室立即进行了剖腹手术和主动脉钳夹术。在其余77例患者中，62例通过小手术实现了止血（致死率16%），13例必须进行大手术（致死率62%）。仅1例患者使用了填塞法。肝外伤的预后主要取决于合并伤以及肝外伤的严重程度。
