McInnis W D, Richardson J D, Aust J B
Arch Surg. 1977 Feb;112(2):157-61. doi: 10.1001/archsurg.1977.01370020051005.
We reviewed 233 traumatic injuries to the liver. The mortality was 11%. Deaths were due to either uncontrolled intraoperative hemorrhage or the postoperative complications of multiple organ injuries. The majority of liver injuries can be safely managed with manual compression, porta hepatic control, simple sutures, or drainage. Liver injuries involving the hepatic veins or retrohepatic vena cava continue to be highly lethal despite the use of vascular isolation and hepatic resection.
我们回顾了233例肝脏创伤性损伤。死亡率为11%。死亡原因要么是术中出血无法控制，要么是多器官损伤的术后并发症。大多数肝脏损伤可通过手动压迫、肝门控制、简单缝合或引流安全处理。尽管采用了血管隔离和肝切除术，但涉及肝静脉或肝后下腔静脉的肝脏损伤仍然具有很高的致死率。
