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[肝外伤某些临床类型的治疗态度]

[Therapeutic attitude in some clinical forms of hepatic trauma].

作者信息

Setlacec D, Apreotesei C

出版信息

Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1979 Sep-Oct;28(5):327-34.

PMID:515482
Abstract

Six cases of hepatic trauma are presented, that have raised particular problems of therapeutical attitude. The severity of the complications is discussed in this type of trauma, especially aspects related to hemobilia and hepatic suppurations which are accompanied by toxico-septic syndromes. The authors stress the role of sutures of deep hepatic wounds in the development of suppurations, as well as the opportunity of early re-interventions in such cases. Also some particular, more rare, clinical forms are discussed, that made necessary a differentiated therapeutical attitude.

摘要

本文介绍了6例肝外伤病例,这些病例引发了特殊的治疗态度问题。文中讨论了此类创伤并发症的严重程度,特别是与胆道出血和肝脓肿相关的方面,这些并发症伴有中毒性败血症综合征。作者强调深部肝伤口缝合在脓肿形成中的作用,以及在此类病例中早期再次干预的时机。此外,还讨论了一些特殊的、较为罕见的临床形式,这些形式需要采取差异化的治疗态度。

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