中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2012年
1期
69-72
,共4页
肝外伤%非手术治疗%损伤控制外科%微创外科
肝外傷%非手術治療%損傷控製外科%微創外科
간외상%비수술치료%손상공제외과%미창외과
Liver trauma%Non-operative management%Damage Control Surgery%Minimally invasive surgery
肝脏是体内最大的实质性器官.其外伤约占腹部创伤的20％左右,是较常见的腹部损伤器官.外伤所致肝破裂主要表现为腹腔内出血、腹膜刺激症状、失血性休克.如合并肝周大静脉损伤或合并多个脏器损伤,其死亡率很高.近年来,随着肝外伤研究的深入以及现代外科技术和设备的迅猛发展,肝外伤处理策略和手段发生了变化,如非手术治疗肝外伤病例逐渐增多,损伤控制性填塞方法的改善,快速通道外科理念在肝外伤的应用等等.
肝髒是體內最大的實質性器官.其外傷約佔腹部創傷的20％左右,是較常見的腹部損傷器官.外傷所緻肝破裂主要錶現為腹腔內齣血、腹膜刺激癥狀、失血性休剋.如閤併肝週大靜脈損傷或閤併多箇髒器損傷,其死亡率很高.近年來,隨著肝外傷研究的深入以及現代外科技術和設備的迅猛髮展,肝外傷處理策略和手段髮生瞭變化,如非手術治療肝外傷病例逐漸增多,損傷控製性填塞方法的改善,快速通道外科理唸在肝外傷的應用等等.
간장시체내최대적실질성기관.기외상약점복부창상적20％좌우,시교상견적복부손상기관.외상소치간파렬주요표현위복강내출혈、복막자격증상、실혈성휴극.여합병간주대정맥손상혹합병다개장기손상,기사망솔흔고.근년래,수착간외상연구적심입이급현대외과기술화설비적신맹발전,간외상처리책략화수단발생료변화,여비수술치료간외상병례축점증다,손상공제성전새방법적개선,쾌속통도외과이념재간외상적응용등등.
Liver is the largest parenchymal organ in human body and the most commonly injured organ in abdomen,accounting for 20％ of all abdominal traumas.Traumatic liver rupture can bring about intra-abdominal hemorrhage,peritoneal irritation and hemorrhagic shock.If the liver trauma takes place in peri-hepatic veins or multiple-organ injury,mortality rate is increased.In recent years,with more studies on liver injury and the rapid development of modern surgical techniques as well as the equipments,the strategies and means of liver trauma treatment have greatly changed.These changes include liver trauma cases with nonoperative treatment have been increased gradually,the improvement of damage control packing,the application of fast-track surgery concept in liver trauma,etc.
