规则肝切除治疗严重肝外伤37例（Regular hepatectomy for severe liver trauma report of 37 cases）.docVIP

下载本文档

1
0
约4.86千字
约 5页
2017-09-02 发布于河南
举报
版权申诉

规则肝切除治疗严重肝外伤37例（Regular hepatectomy for severe liver trauma report of 37 cases）.doc

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

规则肝切除治疗严重肝外伤37例（Regular hepatectomy for severe liver trauma report of 37 cases）

规则肝切除治疗严重肝外伤37例（Regular hepatectomy for severe liver trauma report of 37 cases） Including: the liver or liver lobe injury can not be repaired in 7 cases, but can control the hemorrhage of liver resection in 12 cases, the degree of liver injury with perihepatic packing in 3 cases, after debridement in the corresponding hepatic segment or lobe of liver blood circulation disorders in 11 cases, inferior vena cava injury underwent liver resection was 4 cases. The relation between hepatic injury grading and hepatic lobectomy is shown in table 2. Among them, right liver resection was performed in 27 cases (73%), left half hepatectomy in 1 cases (2.7%), left outer lobe resection in 5 cases (13.5%), hepatic resection in 4 cases (10.8%). Table 1 clinical grading of liver trauma Grading injury The surface area of hematoma capsule was 10% Tear capsule tear, depth 1 cm II. The surface area of hematoma is 10% ~ 50% In essence, the diameter is 10 cm Tear depth 1 ~ 3cm, long 10 cm The surface area of hematoma was 50% or extended Rupture of subcapsular or parenchymal hematoma In essence, the diameter is 10, cm, or extended Tear deep 3 cm, IV. tear apart parenchyma tear involving 25% to 75% of a lobe Or confined to the 1~3 section of a leaf V. tear apart parenchyma tear, involving 75% or more leaves in a leaf than 3 segments The posterior hepatic vein (such as the posterior inferior vena cava and the central hepatic vein) Vascular complete avulsion of liver Note: there are 1 grades in injury classification below grade III. Table the relation between the grading of hepatic trauma and regular hepatectomy in 237 cases The number of staged hepatectomy Left outer lobectomy 3 Single hepatic resection 2 Right hepatectomy 20 IV seventh and eighth 1 segmental resection Right hepatectomy 7 V. left half liver resection 1 Left outer lobectomy 2 Caudal lobectomy 1 Result The average time of 37 cases of regular hepatectomy was 3.8 h, the average blood transfusion was 2000 ml, and there was no intr