Strear C M, Graf J L, Albanese C T, Harrison M R, Jennings R W
Fetal Treatment Center, Department of General Surgery, University of California, San Francisco 94143, USA.
J Pediatr Surg. 1998 Jun;33(6):849-51. doi: 10.1016/s0022-3468(98)90657-1.
Intraoperative neonatal liver hemorrhage usually results in exsanguination and death. The parenchyma of a neonatal liver is fragile, and the capsule is very thin, unlike that in the pediatric and adult patient. This renders the treatment of a neonatal liver fracture almost universally unsuccessful. The current report describes two cases of successful management of intraoperative neonatal liver hemorrhage during surgery for necrotizing enterocolitis (NEC).
新生儿术中肝脏出血通常会导致失血过多和死亡。与儿童和成人患者不同,新生儿肝脏实质脆弱,包膜非常薄。这使得新生儿肝脏破裂的治疗几乎普遍失败。本报告描述了两例在坏死性小肠结肠炎(NEC)手术中成功处理新生儿术中肝脏出血的病例。