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经导管动脉栓塞止血治疗肝外伤后肝出血后肝大部坏死行肝切除术:1例报告

Hepatectomy for massive hepatic necrosis after transcatheter arterial embolization hemostasis for hepatic hemorrhage following hepatic trauma: A case report.

作者信息

Hanaki Takehiko, Tokuyasu Naruo, Yata Shinsaku, Kishino Mikiya, Murakami Yuki, Shishido Yuji, Miyatani Kozo, Kihara Kyoichi, Matsunaga Tomoyuki, Yamamoto Manabu, Sakamoto Teruhisa, Hasegawa Toshimichi, Fujiwara Yoshiyuki

机构信息

Department of Surgery, Division of Gastrointestinal and Pediatric Surgery, School of Medicine, Faculty of Medicine Tottori University Yonago Japan.

Department of Multidisciplinary Internal Medicine, Division of Radiology, School of Medicine, Faculty of Medicine Tottori University Yonago Japan.

出版信息

Clin Case Rep. 2023 Sep 18;11(9):e7888. doi: 10.1002/ccr3.7888. eCollection 2023 Sep.

DOI:10.1002/ccr3.7888
PMID:37731968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10507280/
Abstract

KEY CLINICAL MESSAGE

Although partial hepatic necrosis often occurs following endovascular treatment for bleeding associated with hepatic trauma, it is relatively rare that additional treatment is required. However, invasive procedures such as hepatic resection should sometimes be considered when infection occurs over massive hepatic necrosis.

ABSTRACT

Although partial hepatic necrosis following endovascular treatment for bleeding associated with hepatic trauma is occasionally experienced, it is relatively rare for the necrotic area of the liver to require additional treatment. However, invasive procedures such as hepatic resection should sometimes be considered when infection occurs over massive hepatic necrosis.

摘要

关键临床信息

尽管肝外伤出血的血管内治疗后常发生部分肝坏死,但需要额外治疗的情况相对少见。然而,当大面积肝坏死发生感染时,有时应考虑进行诸如肝切除术等侵入性操作。

摘要

尽管偶尔会遇到肝外伤出血的血管内治疗后出现部分肝坏死的情况,但肝脏坏死区域需要额外治疗的情况相对少见。然而,当大面积肝坏死发生感染时,有时应考虑进行诸如肝切除术等侵入性操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/428e/10507280/f6fdfaf57ca8/CCR3-11-e7888-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/428e/10507280/a51ee2b48d9e/CCR3-11-e7888-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/428e/10507280/6c91d40eef24/CCR3-11-e7888-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/428e/10507280/f6fdfaf57ca8/CCR3-11-e7888-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/428e/10507280/a51ee2b48d9e/CCR3-11-e7888-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/428e/10507280/6c91d40eef24/CCR3-11-e7888-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/428e/10507280/f6fdfaf57ca8/CCR3-11-e7888-g002.jpg

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本文引用的文献

1
Primary angioembolization in liver trauma: major hepatic necrosis as a severe complication of a minimally invasive treatment-a narrative review.原发性肝动脉栓塞术治疗肝外伤:微创治疗的严重并发症——肝大片坏死:病例报告。
Updates Surg. 2022 Oct;74(5):1511-1519. doi: 10.1007/s13304-022-01372-9. Epub 2022 Sep 4.
2
Severe liver injury with traumatic cardiac arrest successfully treated by damage control surgery and transcatheter arterial embolization in the hybrid operating room: a case report.杂交手术室中采用损伤控制手术及经导管动脉栓塞术成功治疗伴有创伤性心脏骤停的严重肝损伤:一例报告
Surg Case Rep. 2021 Oct 30;7(1):234. doi: 10.1186/s40792-021-01317-1.
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Hepatic trauma.
肝外伤
Ann Transl Med. 2021 Jul;9(14):1195. doi: 10.21037/atm-20-4580.
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Management of severe liver injuries: push, pack, pringle - and plug!严重肝损伤的处理:按压、填塞、肝门阻断及封堵!
Scand J Trauma Resusc Emerg Med. 2021 Jul 14;29(1):93. doi: 10.1186/s13049-021-00907-0.
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Organ injury scaling 2018 update: Spleen, liver, and kidney.2018年器官损伤分级更新:脾脏、肝脏和肾脏。
J Trauma Acute Care Surg. 2020 Dec;89(6):e187. doi: 10.1097/TA.0000000000002821.
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Substantial hepatic necrosis is prognostic in fulminant liver failure.大量肝坏死是暴发性肝衰竭的预后指标。
World J Gastroenterol. 2017 Jun 21;23(23):4303-4310. doi: 10.3748/wjg.v23.i23.4303.
7
Percutaneous debridement of posttraumatic infected major hepatic necrosis.经皮清创治疗创伤后感染性大面积肝坏死
J Vasc Interv Radiol. 2014 Aug;25(8):1273-7. doi: 10.1016/j.jvir.2014.04.009.
8
Treatment of major hepatic necrosis: lobectomy versus serial debridement.
J Trauma. 2010 Sep;69(3):562-7. doi: 10.1097/TA.0b013e3181ebf591.
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Major hepatic necrosis: a common complication after angioembolization for treatment of high-grade liver injuries.大面积肝坏死:血管栓塞治疗重度肝损伤后的常见并发症。
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Imaging and percutaneous treatment of secondarily infected hepatic infarctions.继发性感染性肝梗死的影像学与经皮治疗
AJR Am J Roentgenol. 2008 Mar;190(3):601-7. doi: 10.2214/AJR.07.2005.