TREATMENT OF HEPATIC-TRAUMA WITH PERIHEPATIC MESH - 35 CASES

被引：22

作者：

BRUNET, C ^{[1
]}

SIELEZNEFF, I ^{[1
]}

THOMAS, P ^{[1
]}

THIRION, X ^{[1
]}

SASTRE, B ^{[1
]}

FARISSE, J ^{[1
]}

机构：

[1] ST MARGUERITE MARSEILLE HOSP,DEPT GEN SURG EMERGENCY,MARSEILLE,FRANCE

来源：

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 1994年 / 37卷 / 02期

关键词：

D O I：

10.1097/00005373-199408000-00008

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

In a series of 61 trauma cases, 35 liver injuries (Moore's classes 2 to 5) were repaired using a polyglactin 910 perihepatic prosthesis. Two deaths (one coma, one avulsion of the inferior vena cava) were observed. Two centrohepatic hematomas were successfully treated by percutaneous needle aspiration. No hemobilia and no abscess of the liver occurred. Rapidly obtained hemostasis and cholestasis result in a large savings of blood. Progressive disappearance of the lesions was observed with repeat CT scanning until full recovery of the parenchyma was achieved. This was verified by biopsy and histologic examination and also by means of specific hepatic function tests.

引用

页码：200 / 204

页数：5

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