• 四川大學華西醫(yī)院肝臟及血管外科(四川成都 610041);

目的  回顧性分析2008年5月12日汶川地震及2013年4月20日蘆山地震中,筆者所在醫(yī)院收治的8例地震肝外傷住院傷員情況,為地震肝外傷的診治提供參考。
方法  于筆者所在醫(yī)院病案科查詢因地震傷入院且診斷為肝外傷的傷員,收集其相關臨床資料并分析。
結果  筆者所在醫(yī)院在汶川及蘆山地震后共收治地震肝外傷患者8例,其中7例患者伴隨有其他合并傷。入院后2例患者接受了肝臟手術治療,其余6例患者行保守治療。所有患者均治愈出院。
結論  早期明確診斷,選擇恰當的治療方式,及時處理合并傷,可以使地震肝外傷患者獲得良好的預后。

引用本文: 馬渝城,楊家印,王清,嚴律南. 地震肝外傷8例救治分析△. 中國普外基礎與臨床雜志, 2013, 20(10): 1168-1170. doi: 復制

版權信息: ?四川大學華西醫(yī)院華西期刊社《中國普外基礎與臨床雜志》版權所有,未經授權不得轉載、改編

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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.
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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. 張吉成, 陳燕凌. 肝外傷的診治體會 (附 55 例報告)[J]. 國際外科學雜志, 2009, 36(2):78-80.
  1. 1. Piper GL, Peitzman AB. Current management of hepatic trauma[J]. Surg Clin North Am, 2010, 90(4):775-785.
  2. 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. 3. 吳孟超, 吳在德. 黃家駟外科學[M]. 第7版. 北京: 人民衛(wèi)生出版社, 2008:1325-1329.
  4. 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. 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. 6. Bouras AF, Truant S, Pruvot FR. Management of blunt hepatic trauma[J]. J Visc Surg, 2010, 147(6):e351-e358.
  7. 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. 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. 9. Létoublon C, Arvieux C. Nonoperative management of blunt hepatic trauma[J]. Minerva Anestesiol, 2002, 68(4):132-137.
  10. 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. 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. 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. 13. 張吉成, 陳燕凌. 肝外傷的診治體會 (附 55 例報告)[J]. 國際外科學雜志, 2009, 36(2):78-80.