肝损伤的管理
Management of hepatic injury.
作者信息
Hanna S S, Jirsch D W
出版信息
Can Med Assoc J. 1977 Aug 20;117(4):352-3.
Abstract
Liver injuries may be due to either blunt or penetrating trauma to the thorax or abdomen. Specific treatment depends on the site and extent of hepatic injury. Following resuscitation with intravenous fluids and blood as needed, surgical therapy is directed to provide hemostasis, remove necrotic liver tissue and promote adequate external drainage in the postoperative period. While local measures are usually sufficient, complex hepatic wounds may require extensive resection and vascular ligature or repair.
摘要
肝损伤可能是由于胸部或腹部的钝性或穿透性创伤所致。具体治疗方法取决于肝损伤的部位和程度。在根据需要通过静脉输液和输血进行复苏后，手术治疗旨在实现止血、清除坏死的肝组织，并在术后促进充分的外部引流。虽然局部措施通常就足够了，但复杂的肝损伤可能需要广泛切除、血管结扎或修复。
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