Horwitz J R, Black T, Lally K P, Andrassy R J
Division of Pediatric Surgery, Hermann Childrens Hospital, Houston, Texas, USA.
J Trauma. 1995 Sep;39(3):584-5. doi: 10.1097/00005373-199509000-00031.
We report the successful utilization of venovenous bypass in the case of an 8-year-old-boy who suffered a major hepatic injury with a retrohepatic venous injury after a kick by a horse. Initial nonoperative management was successful, but a delayed hemorrhage required operation. Vascular access was obtained via the peripheral circulation, and venovenous bypass was performed without systemic heparinization. Venovenous bypass improved vascular control and allowed the repairs to be performed in a relatively bloodless field, while not compromising venous return.
我们报告了一名8岁男孩的病例，该男孩在被马踢后遭受严重肝损伤并伴有肝后静脉损伤，成功采用了静脉-静脉旁路技术。最初的非手术治疗取得了成功，但延迟性出血需要进行手术。通过外周循环建立血管通路，在未全身肝素化的情况下进行了静脉-静脉旁路手术。静脉-静脉旁路改善了血管控制，使修复能够在相对无血的视野中进行，同时不影响静脉回流。
