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題名 | The Experience with Applying Absorbable Artificial Mesh-wrap in the Treatment of Severe Hepatic Lacerations=利用可吸收網膜治療嚴重肝臟裂傷之經驗 |
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作者 | 姚忠瑾; 陳靖宙; 王景德; 林宗熙; 楊敏盛; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 29:1 民85.01-02 |
頁次 | 頁28-33 |
分類號 | 416.246 |
關鍵詞 | 可吸收網膜; 肝臟裂傷; Dexon mesh hepatorrhaphy; Severe hepatic injury; |
語文 | 英文(English) |
中文摘要 | 近年來雖然對於外傷照顧,有相當大的進步,但面對嚴重肝臟外傷的處理,仍相當有挑戰性。不可控制的出血,仍是最主要的死因。因而有多種不同的方法來處理嚴重肝臟外傷,但似乎效果均不甚理想。有鑑於利用可吸收網膜包埋脾及腎臟外傷止血成功的經驗,我們嘗試利用此種網膜來處理嚴重肝臟外傷的病患。在我們最初的3例病例中,均能達到止血效果,2例復原良好,1例產生肝內膿瘍。均存活,而包埋肝臟的方法及與傳統方法的比較,文內有詳細的描述。 |
英文摘要 | Despite advances in trauma care in recent years, successful treatment ofsevere hepatic injuries remains a formidable challenge. Exsanguination remains a major cause of mortality. There are a variety of methods for treating devastating hepatic injuries, but none seems adequate. In view of therecently reported succcess in control of hemorrhage from, and salvage of,injured spleen and kidney with an absorbable mesh wrap, an attempt hasbeen made here to use such mesh wrap in the management of severe hepatic parenchyma injuries. In the initial experience with three cases of severeliver injury, all have achieved hemorrhage control. Of these, two cases recovered well and one was complicated with intrahepatic abscess. However, all three cases have survived. A comparison between the technique of mesh-wrap hepatorrhaphy and the conventional method are discussed in detailin the text. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。