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| 1 | 血管介入治疗在脾破裂出血中的应用显示文摘脾脏是腹部内脏最容易受损的器官,在腹部闭合性损伤中,脾破裂居于首位。外科干预是治疗脾脏破裂的传统方法,但外科切除脾脏的死亡率及术后感染的发生率较高。自20世纪50年代以来,认识到脾脏切除术后免疫力下降导致严重感染,因而对脾外伤的患者倾向于保脾治疗。1981年首次应用经导管脾动脉栓塞术治疗创伤性脾脏出血,20世纪90年代以后,脾动脉栓塞术作为非手术方法治疗脾破裂出血得到认可。本文就动脉介入栓塞术在脾破裂救治中的临床应用价值和地位进行叙述,为临床治疗路径的制定提供参考。 | 常中飞 李强 王茂强 刘凤永 段峰 王志军 张国栋 | 2016 | 中华临床医师杂志(电子版)2016，10，14： | 5 |
| 2 | Outcome analysis of management of liver trauma: A 10-year experience at a trauma center显示文摘AIM: To review the outcomes of liver trauma in patients with hepatic injuries only and in patients with associated injuries outside the liver.METHODS: Data of liver trauma patients presented to our center from January 2003 to October 2013 were reviewed. The patients were divided into two groups. Group 1 consisted of patients who had hepatic injuries only. Group 2 consisted of patients who also had associated injuries outside the liver.RESULTS: Seven(30.4%) patients in group 1 and 10(28.6%) patients in group 2 received non-operative management; the rest underwent operation. Blunt trauma occurred in 82.8%(48/58) of the patients and penetrative trauma in 17.2%(10/58). A higher injury severity score(ISS) was observed in group 2(median 45 vs 25, P < 0.0001). More patients in group 1 were hemodynamically stable(65.2% vs 37.1%, P = 0.036). Other parameters were comparable between groups. Group 1 had better 30-d survival(91.3% vs 71.4%, P = 0.045). On multivariate analysis using the logistic regression model, ISS was found to be associated with mortality(P = 0.004, hazard ratio = 1.035, 95%CI:CONCLUSION: Liver trauma patients with multiple injuries are relatively unstable on presentation. Despite a higher ISS in group 2, non-operative management was possible for selected patients. Associated injuries outside the liver usually account for morbidity and mortality. | Wong Hoi She Tan To Cheung Wing Chiu Dai Simon HY Tsang Albert CY Chan Daniel KH Tong Gilberto KK Leung Chung Mau Lo | 2016 | World Journal of Hepatology2016，8，15： | 3 |
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