肝破裂合并肝静脉及肝后下腔静脉损伤的手术治疗  

Emergent surgery for liver rupture with hepatic vein and posthepatic vein injuries

作　　者：刘书强[1] 汤治平[1] 梁志宏[1] 赵象文[1] 

机构地区：[1]南方医科大学附属小榄医院普外科,广东中山528415

出　　处：《现代医学》2011年第4期441-443,共3页Modern Medical Journal

摘　　要：目的:探讨严重肝破裂合并肝静脉及肝后下腔静脉损伤手术治疗的临床效果。方法:回顾性分析2005年1月至2010年12月收治的9例外伤性肝破裂合并肝静脉及肝后下腔静脉损伤手术治疗的病例资料。结果:本组9例患者中行肝右静脉破裂间断缝合修补术2例,肝右静脉缝扎术1例,肝左静脉缝扎术2例,肝后下腔静脉破裂修补术2例,肝周纱布填塞2例;治愈8例(88.9%),死亡1例(11.1%)。结论:术前合理的急救复苏、及时手术及正确的手术方式是提高肝破裂合并肝静脉及肝后下腔静脉损伤抢救成功的关键。Objective： To explore the clinical effect of emergent surgery for sereve liver rupture with hepatic vein and posthepatic vein injuries. Methods： We retrospectively analyzed the clinical dates of 9 cases suffering from sereve liver rupture with hepatic vein and posthepatic vein injuries from Jan 2005 to Dec 2010 in our hospital. Results： All the case underwent emergency operation, 2 case were treated by interrupted suture of fight hepatic vein, 1 case was treated by mattress suture of right hepatic vein, 2 cases were treated by mattress suture of left hepatic vein,2 cases were treated by repair of posthepatic inferior vena,2 cases were treated with gauzes packing. Among all the 9 cases, 8 cases （ 88.9% ） were cured, 1 case （ 11.1% ） died. Conclusion： Rational preoperative emergent resuscitation, prompt operation and correct operation style are the key for successful rescue of patients suffering from sereve liver rupture with hepatic vein and posthepatic vein injuries.

关 键 词：肝破裂 肝静脉 创伤 

分 类 号：R657.3[医药卫生—外科学]