鈍的肝損傷の非手術治療とその合併症

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  • NONOPERATIVE TREATMENT OF BLUNT HEPATIC INJURIES AND ITS COMPLICATIONS

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We studied the results and complications of nonoperative treatment of 130 cases of hepatic injury during the past 14 years and 7 months.<br> According to our protocol, nonoperative treatment was used for hemodynamically stable patients after rapid drip infusion.<br> Of 130 hepatic injuries, an operation was performed in 14 cases, and nonoperative management was attempted in the remaining 116 cases, including 12 cases which received transcatheter embolization for the hemostat of active bleeding. Nine patients had complications: biloma, delayed rupture, and lung embolism. Nonoperative treatment should be combined with intensive care of the patient, and there should be no delay in shifting from nonoperative treatment to laparotomy when necessary.

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