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[肝损伤外科治疗中的手术方式选择]

[Choice of procedure in the surgical treatment of liver injuries].

作者信息

Fuchs K, Castrup H J, Hölscher M

出版信息

Chirurg. 1978 Jul;49(7):419-23.

PMID:679788
Abstract

We give an analysis of liver-rupture cases among our own patients and discuss the problems of diagnosis and surgical therapy. Total lethality is 29%; this is dependent on quick diagnostic procedure, the number and severity of accompanying traumas, and the type of liver rupture. The main diagnostic feature seems to be peritoneal lavage, Operative procedure depends on the type and severity of the liver rupture. We therefore propose a classification of the types of liver ruptures, together with their adequate surgical therapy. Some postoperative complications can also be avoided.

摘要

我们对自身患者中的肝破裂病例进行了分析,并讨论了诊断和手术治疗的问题。总致死率为29%;这取决于快速诊断程序、伴随创伤的数量和严重程度以及肝破裂的类型。主要诊断特征似乎是腹腔灌洗,手术程序取决于肝破裂的类型和严重程度。因此,我们提出了肝破裂类型的分类及其相应的手术治疗方法。一些术后并发症也可以避免。

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