【摘要】 作者回顾1972～1990年肝切除治疗严重肝损伤20例,比较了急诊施行规则性肝切除与阻断肝蒂清创性肝切除死亡率分别为66.7%和27.3%。提出了规则性肝切除手术操作复杂、费时费事、死亡率高,不应轻易施行;而清创性肝切除一次阻断肝门,均能在安全时间内完成切肝,提高了肝切除的成功率,主张对非切肝不能止血者应积极采用。建立通畅输液通道,补给足够血容量,充分暴露肝脏损伤部分且能控制在术者二手间,以及采用手指法断离肝实质,逐一结扎血管和胆管,对保证清创性切肝的成功十分重要。更多还原

【Abstract】 Twenty two cases of serious liver injury treated by hepatectomy from 1972 to 1990 were reviewed, and the effects of regular hepatectomy in emergency was compared with the cleaning hepatectomy, their mortality rate were 66.70% and 27.3% respectively. It was proposed that regular hepatectomy shouldn’t be performed freely for its complex procedure, timewasting and high mortality rate, while the cleaning hepatectomy can interrupting hepatic hilus in one time and finish the operation in safe with a higher successful rate. For this reason it’s worth to use. Meanwhile building a good infusion path to supplement enough blood volume, exposing the injuried site fully interrupting and isolating liver parcchma with finger, and tieing off the vessles and bile ducts one by one are also very important in the operation更多还原