Erdek M A, Brotman S
Geisinger Medical Center, Danville, PA 17822-2111, USA.
Eur J Emerg Med. 1994 Jun;1(2):88-91.
We report the case of a 38-year-old male victim of a motorcycle accident who presented to the emergency department with a blood pressure of 90 mmHg/palpable and a haemoglobin of 6 gm dl-1. An exploratory laparotomy revealed a large liver laceration and profound haemorrhage. Liver packing was employed to prevent patient mortality in the face of an exsanguinating haemorrhage and multiple transfusions. The patient made an uneventful postoperative recovery. This case reinforces the indications, potential complications, and importance of liver packing in this type of grave clinical picture.
我们报告了一名38岁男性摩托车事故受害者的病例，该患者被送往急诊科时血压为90 mmHg/可触及，血红蛋白为6 g/dl-1。剖腹探查发现肝脏有巨大裂伤和严重出血。面对失血性出血和多次输血，采用肝脏填塞术以防止患者死亡。患者术后恢复顺利。该病例强化了在这种严重临床情况下肝脏填塞术的适应症、潜在并发症及重要性。
