Biriukov I V, Volkov O V, Roi S
Department of Surgical Diseases No 2, MMA of Sechenov.
Khirurgiia (Mosk). 1997(2):24-7.
The analyses of literature data on the results of the treatment of patients with mechanical injuries of the liver have been done. Analyses of 458 cases of open and closed liver traumas made it possible to determine 2 clinical forms of liver injuries: hemorrhagic and peritoneal. The separate subforms of traumatic liver disease in isolated multiple and combined injuries are determined. A diagnostic role of various methods was evaluated. Use of laparoscopy in 17 patients has exposed a superficial character of liver injuries and allowed not to perform surgery. Use of low-frequency ultrasound and polymeric adhesive sulfacrilat for the treatment of liver wounds in 63 patients has decreased the rate of postoperative complications to 18%, and the rate of mortality in mechanical liver injuries to 11.4% (in patients with mechanical liver injuries operated on with the use of ligature-free suture).
已对有关肝机械性损伤患者治疗结果的文献数据进行了分析。对458例开放性和闭合性肝外伤病例的分析使得确定肝损伤的2种临床类型成为可能：出血性和腹膜性。确定了孤立性多发伤和复合伤中创伤性肝病的单独亚类型。评估了各种方法的诊断作用。对17例患者使用腹腔镜检查显示了肝损伤的表浅特征，并避免了进行手术。对63例患者使用低频超声和聚甲基丙烯酸甲酯粘合剂治疗肝伤口，已将术后并发症发生率降至18%，肝机械性损伤的死亡率降至11.4%（在使用无结扎缝线进行手术的肝机械性损伤患者中）。
