Leppäniemi A K, Salo J A, Haapiainen R K, Lempinen M J
Second Department of Surgery, Helsinki University Central Hospital, Finland.
Acta Chir Scand. 1988 Feb;154(2):89-92.
The records of 131 consecutive patients treated for liver stab wounds during a 20-year period were reviewed. All were operated on. Bleeding from the liver injury ceased spontaneously before operation in 41% of the cases. The chest, stomach and extremities were the most common sites of associated injury. In 36% the liver was the only injured organ. The liver injury was managed with simple surgical techniques in all but three cases. The mortality rate was 4.6%, and only one of the six deaths was directly attributable to the liver injury. Complications, mostly involving the lungs and the wound, arose in 27% of the series. Stab wounds of the liver are relatively benign and the great majority can be satisfactorily treated with simple surgery. Excluding juxtahepatic venous injuries, the mortality and morbidity are due mainly to associated injuries.
回顾了20年间131例连续接受肝刺伤治疗患者的记录。所有患者均接受了手术。41%的病例中，肝损伤出血在手术前自行停止。胸部、腹部和四肢是最常见的合并损伤部位。36%的患者肝脏是唯一受损器官。除3例患者外，所有肝损伤均采用简单手术技术处理。死亡率为4.6%，6例死亡中仅有1例直接归因于肝损伤。该组病例中27%出现并发症，主要累及肺部和伤口。肝刺伤相对良性，绝大多数可通过简单手术得到满意治疗。排除肝周静脉损伤，死亡率和发病率主要归因于合并损伤。
