目的探讨合并肝后静脉损伤的严重肝损伤时损伤静脉的显露和修复的方法。 方法本组肝右叶切除2例，肝右叶切除并直接修补肝后段下腔静脉1例，直接修补肝中静脉和肝正中裂2例，改良式全肝血流阻断修补肝和肝静脉8例，未发现出血部位行盲目修补2例。结果本组合并肝后静脉损伤15例，其中死于术中大出血4例，死于术后不可逆休克1例，痊愈10例。结论合并肝后静脉损伤时术前复苏、术中对损伤静脉的正确显露与修复是治疗的关键，改良式全肝血流阻断对修复肝后静脉损伤是一种有效方法。
Citation：
孙智勇. SURGICAL MANAGEMENT OF SEVERE HEPATIC INJURY COMPLICATED WITH POSTHEPATIC VENA RUPTURE. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(6): 425-426. doi:
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- 1. Chen RJ, Fang JF, Lin BC, et al. Surgical management of juxtahepatic venous injuries in blunt hepatic trauma [J]. J Trauma,1995;38(6)∶886.
- 2. 黄志强．现代腹部外科学 [M].第1版．长沙： 湖南科学技术出版社，1997∶225～226.
- 3. Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ injury scaling: spleen and liver (1994 revision) [J].J Trauma,1995; 38(3)∶323.
- 4. Wiencek RG Jr, Wilson RF, Steiger Z. Acute injuries of the diaphragm. An analysis of 165 cases [J]. J Thorac Cardiovasc Surg, 1986; 92(8)∶989.
- 5. 徐少明．全肝血流阻断下的肝后段下腔静脉修补术 [J].中国实用外科杂志, 1999; 19(7)∶430.
