用网膜包裹法止住严重肝出血
Arrest of severe liver hemorrhage by an omental pack.
作者信息
Fabian T C, Stone H H
出版信息
South Med J. 1980 Nov;73(11):1487-90. doi: 10.1097/00007611-198011000-00021.
From Jan 1, 1971 through June 30, 1979, 113 cases of massive liver injury were managed by insertion of a viable omental pack. Significant active hemorrhage was present in all cases, while the source of hepatic bleeding was primarily venous in the 102 injuries due to blunt trauma. Associated injuries were present in 90% of patients, with an average of 2.4 associated injuries per patient. A total of 175 complications developed in 82 patients. Nine deaths produced a mortality of 8%. Arrest of liver hemorrhage by tamponade with viable omentum was almost uniformly successful in patients with nonpenetrating injury.
从1971年1月1日至1979年6月30日，113例严重肝损伤患者通过植入有活力的网膜包进行治疗。所有病例均有明显的活动性出血，在102例钝性创伤所致肝损伤中，肝出血来源主要为静脉。90%的患者存在合并伤，每位患者平均有2.4处合并伤。82例患者共发生175例并发症。9例死亡，死亡率为8%。对于非穿透性损伤患者，用有活力的网膜填塞止血几乎均获成功。
Zotero 插件