肝外伤处理的选择性
Selectivity in the management of hepatic trauma.
作者信息
Flint L M, Mays E T, Aaron W S, Fulton R L, Polk H C
出版信息
Ann Surg. 1977 Jun;185(6):613-8. doi: 10.1097/00000658-197706000-00001.
Abstract
Retrospective review of 178 consecutive patients who sustained hepatic injuries confirms that selective application of hepatic artery ligation is an efficient means of definitive hemostasis. Only two of 20 immediate deaths resulted from hepatic parenchymal hemorrhage. Over-all mortality (20%) was not significantly increased where hepatic artery ligation was used. Sepsis was the most frequent complication after severe hepatic trauma.
摘要
对178例连续性肝损伤患者的回顾性研究证实，选择性应用肝动脉结扎术是一种有效的确定性止血方法。20例即刻死亡患者中只有2例死于肝实质出血。使用肝动脉结扎术时，总体死亡率（20%）并未显著增加。脓毒症是严重肝外伤后最常见的并发症。
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