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[肝损伤患者手术方法的选择]

[The choice of the surgical method in patients with liver injuries].

作者信息

Trutiak I R, Saĭdakovs'kyĭ Iu Ia, Iunko M A

出版信息

Klin Khir (1962). 1994(9):27-9.

PMID:7602939
Abstract

Results of clinical observations and anatomic-topographic investigations of an injured liver were analyzed. Liver laceration between portal complexes and the hepatic veins system without large vessels traumatization were observed in the closed injury. The mattress or harelip stitches were placed on the defect. In the case of hepatic parenchyma crushing the dissection of nonviable tissues with subsequent wound suturing and tamponade using omentum was conducted. In patients with a knife and bullet wounds and injuries of the large vessels and hepatic channels more complicated procedures were done.

摘要

对受伤肝脏的临床观察结果和解剖学 - 地形学研究进行了分析。在闭合性损伤中观察到门静脉复合体与肝静脉系统之间的肝裂伤,且无大血管损伤。在缺损处放置褥式或唇裂缝合线。对于肝实质挤压伤,进行切除无活力组织,随后使用大网膜缝合伤口并填塞。对于有刀伤、枪伤以及大血管和肝管道损伤的患者,则进行了更复杂的手术。

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