General, Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisia 1, 56100, Pisa, Italy.
Riverside University Health System, CECORC Research Center, Loma Linda University, Loma Linda, USA.
World J Emerg Surg. 2020 Mar 30;15(1):24. doi: 10.1186/s13017-020-00302-7.
Liver injuries represent one of the most frequent life-threatening injuries in trauma patients. In determining the optimal management strategy, the anatomic injury, the hemodynamic status, and the associated injuries should be taken into consideration. Liver trauma approach may require non-operative or operative management with the intent to restore the homeostasis and the normal physiology. The management of liver trauma should be multidisciplinary including trauma surgeons, interventional radiologists, and emergency and ICU physicians. The aim of this paper is to present the World Society of Emergency Surgery (WSES) liver trauma management guidelines.
肝脏损伤是创伤患者中最常见的危及生命的损伤之一。在确定最佳治疗策略时,应考虑解剖损伤、血流动力学状态和相关损伤。肝外伤的处理可能需要非手术或手术治疗,目的是恢复内环境稳定和正常的生理功能。肝外伤的处理应该是多学科的,包括创伤外科医生、介入放射科医生、急诊和 ICU 医生。本文旨在介绍世界急诊外科学会(WSES)的肝脏创伤处理指南。