Orsoni P, Berdah S, Sebag F, Blumen D, Picaud R
Service de Chirurgie Générale et Digestive, CHU Nord, Marseille.
J Chir (Paris). 1995 Nov;132(11):438-41.
Mortality in cases of trauma-induced lesions of the suprahepatic vena cava is high because it is difficult to expose the lesions, and consequently to control blood loss. Several techniques have been reported for treating this type of lesion. We report a case in which both suprahepatic veins were sutured after installing an atrio-cava shunt via a sternotomy. The limitations of this technique and other surgical possibilities are also discussed.
创伤性肝上腔静脉损伤病例的死亡率很高,因为损伤部位难以暴露,因此难以控制出血。已有多种技术被报道用于治疗此类损伤。我们报告一例通过胸骨切开术安装心房-腔静脉分流后缝合肝上静脉的病例。同时也讨论了该技术的局限性及其他手术可能性。