目的 回顾性分析2008年5月12日汶川地震及2013年4月20日芦山地震中,笔者所在医院收治的8例地震肝外伤住院伤员情况,为地震肝外伤的诊治提供参考。
方法 于笔者所在医院病案科查询因地震伤入院且诊断为肝外伤的伤员,收集其相关临床资料并分析。
结果 笔者所在医院在汶川及芦山地震后共收治地震肝外伤患者8例,其中7例患者伴随有其他合并伤。入院后2例患者接受了肝脏手术治疗,其余6例患者行保守治疗。所有患者均治愈出院。
结论 早期明确诊断,选择恰当的治疗方式,及时处理合并伤,可以使地震肝外伤患者获得良好的预后。
Citation:
马渝城,杨家印,王清,严律南. Treatment of 8 Cases with Earthquake Related Liver Trauma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2013, 20(10): 1168-1170. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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Croce MA, Fabian TC, Menke PG, et al. Nonoperative manag-ement of blunt hepatic trauma is the treatment of choice for hemo-dynamically stable patients. Results of a prospective trial[J]. Ann Surg, 1995, 221(6):744-753.
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Stassen NA, Bhullar I, Cheng JD, et al. Nonoperative manage-ment of blunt hepatic injury: an Eastern Association for the Surgeryof Trauma practice management guideline[J]. J Trauma Acute Care Surg, 2012, 73(5 Suppl 4):S288-S293.
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Létoublon C, Arvieux C. Nonoperative management of blunt hepatic trauma[J]. Minerva Anestesiol, 2002, 68(4):132-137.
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Zago TM, Pereira BM, Calderan TR, et al. Blunt hepatic trauma:comparison between surgical and nonoperative treatment[J]. RevCol Bras Cir, 2012, 39(4):307-313.
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Velmahos GC, Toutouzas K, Radin R, et al. High success with nonoperative management of blunt hepatic trauma: the liver is a sturdy organ[J]. Arch Surg, 2003, 138(5):475-480.
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Pachter HL, Knudson MM, Esrig B, et al. Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients[J]. J Trauma, 1996, 40(1):31-38.
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张吉成, 陈燕凌. 肝外伤的诊治体会 (附 55 例报告)[J]. 国际外科学杂志, 2009, 36(2):78-80.
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- 1. Piper GL, Peitzman AB. Current management of hepatic trauma[J]. Surg Clin North Am, 2010, 90(4):775-785.
- 2. Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ injury scaling:spleen and liver (1994 revision)[J]. J Trauma, 1995, 38(3):323-324.
- 3. 吴孟超, 吴在德. 黄家驷外科学[M]. 第7版. 北京: 人民卫生出版社, 2008:1325-1329.
- 4. Catalano O, Lobianco R, Raso MM, et al. Blunt hepatic trauma:evaluation with contrast-enhanced sonography:sonographic findings and clinical application[J]. J Ultrasound Med, 2005, 24(3):299-310.
- 5. Beuran M, Nego I, Ispas AT, et al. Nonoperative management of high degree hepatic trauma in the patient with risk factors for failure: have we gone too far?[J]. J Med Life, 2010, 3(3):289-296.
- 6. Bouras AF, Truant S, Pruvot FR. Management of blunt hepatic trauma[J]. J Visc Surg, 2010, 147(6):e351-e358.
- 7. Croce MA, Fabian TC, Menke PG, et al. Nonoperative manag-ement of blunt hepatic trauma is the treatment of choice for hemo-dynamically stable patients. Results of a prospective trial[J]. Ann Surg, 1995, 221(6):744-753.
- 8. Stassen NA, Bhullar I, Cheng JD, et al. Nonoperative manage-ment of blunt hepatic injury: an Eastern Association for the Surgeryof Trauma practice management guideline[J]. J Trauma Acute Care Surg, 2012, 73(5 Suppl 4):S288-S293.
- 9. Létoublon C, Arvieux C. Nonoperative management of blunt hepatic trauma[J]. Minerva Anestesiol, 2002, 68(4):132-137.
- 10. Zago TM, Pereira BM, Calderan TR, et al. Blunt hepatic trauma:comparison between surgical and nonoperative treatment[J]. RevCol Bras Cir, 2012, 39(4):307-313.
- 11. Velmahos GC, Toutouzas K, Radin R, et al. High success with nonoperative management of blunt hepatic trauma: the liver is a sturdy organ[J]. Arch Surg, 2003, 138(5):475-480.
- 12. Pachter HL, Knudson MM, Esrig B, et al. Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients[J]. J Trauma, 1996, 40(1):31-38.
- 13. 张吉成, 陈燕凌. 肝外伤的诊治体会 (附 55 例报告)[J]. 国际外科学杂志, 2009, 36(2):78-80.