钝性腹部创伤后肝门损伤的延迟表现
Delayed presentation of porta hepatis injury following blunt abdominal trauma.
作者信息
Lau L L, Diamond T
机构信息
Mater Hospital, Belfast, Northern Ireland.
出版信息
HPB Surg. 1997;10(4):249-52. doi: 10.1155/1997/96710.
A 73 year old lady developed abdominal pain, anaemia and obstructive jaundice 18 days after a road traffic accident. The jaundice was due to compression of the biliary confluence by a haematoma which was caused by a laceration of the left portal vein. The portal vein was repaired (lateral venorrhaphy) and post-operative recovery was uncomplicated. Porta hepatis injuries are difficult to diagnose and delayed presentation is not uncommon. Significant morbidity and mortality may ensue if aggressive management is not adopted.
一名73岁女性在道路交通事故18天后出现腹痛、贫血和梗阻性黄疸。黄疸是由于左门静脉撕裂形成的血肿压迫胆管汇合处所致。门静脉进行了修复（侧方静脉缝合术），术后恢复顺利。肝门部损伤难以诊断，延迟就诊并不少见。如果不采取积极的治疗措施，可能会导致严重的发病率和死亡率。
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