Hoda J, Sebbag G, Millerytzki M, Lantsberg L
Service de Chirurgie, Générale et Vasculaire.
J Chir (Paris). 1989 Mar;126(3):183-4.
We report one case of multiple injuries sustained in a traffic accident, including severe injury to the liver and rupture of one of the major suprahepatic veins. We review the techniques for controlling massive hemorrhage, which is still too often fatal in this type of hepatic injury. We notably emphasize the fact that major injury to the liver does not necessarily require wide resection such as formal lobectomy. This approach is advocated by numerous authors, as shown in our review of the literature.
我们报告一例交通事故导致的多处损伤病例,包括肝脏严重损伤和一条主要肝上静脉破裂。我们回顾了控制大出血的技术,在这类肝损伤中,大出血往往仍是致命的。我们特别强调,肝脏的严重损伤不一定需要像正规肝叶切除术那样进行广泛切除。正如我们在文献回顾中所显示的,许多作者都提倡这种方法。