Nonoperative Management of Grade IV Liver Injury for Elderly Patient

Solvita Stabina; Guntars Pupelis; Reinis Laguns; Aleksejs Kaminskis

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Nonoperative Management of Grade IV Liver Injury for Elderly Patient

机译：老年患者IV级肝损伤的非手术治疗

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According to current conventional practice 80% to 90% of hepatic injuries can be safely managed without operation. (2) Previously conservative management of the hepatic injuries were recommended for hemodynamically stable patients who did not require blood transfusion and number of trauma centres strongly recommended conservative strategy in alert patient who are able to cooperate with physical examination. However recent experience shows that the key factor in determining whether non-operative management (NOM) can be safely used is hemodynamic stability (HD) of the patient.(5)

机译：根据目前的常规做法，无需手术即可安全处理80％至90％的肝损伤。（2）对于不需要输血的血流动力学稳定的患者，以前建议对肝损伤进行保守治疗，并且强烈建议在能够配合体格检查的机敏患者中采用保守治疗策略。然而，最近的经验表明，确定是否可以安全使用非手术管理（NOM）的关键因素是患者的血液动力学稳定性（HD）。（5）

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《Acta Chirurgica Latviensis》 |2014年第1期|共2页
作者
Solvita Stabina; Guntars Pupelis; Reinis Laguns; Aleksejs Kaminskis;
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中图分类外科学;
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liver injuryhepatic traumaoperative managementnon-operative managementblunt abdominal traumapolytrauma;

机译：肝损伤肝外伤手术治疗非手术治疗钝性腹部外伤多发伤;

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1. Selective hepatic arterial embolization of grade IV and V blunt hepatic injuries: an extension of resuscitation in the nonoperative management of traumatic hepatic injuries. [J] . Ciraulo DL, Luk S, Palter M, The Journal of trauma . 1998,第2期

机译：IV级和V级钝性肝损伤的选择性肝动脉栓塞：在非手术性肝损伤的非手术治疗中复苏的扩展。
2. Transcatheter arterial embolization in a hemodynamically unstable patient with grade IV blunt liver injury: is nonsurgical management an option? [J] . Nijhof HW, Willemssen FE, Jukema GN Emergency radiology . 2006,第3期

机译：血液动力学不稳定的IV级钝性肝损伤患者的经导管动脉栓塞：是否可以选择非手术治疗？
3. Transcatheter arterial embolization in a hemodynamically unstable patient with grade IV blunt liver injury: is nonsurgical management an option? [J] . H. W. Nijhof, F. E. J. A. Willemssen, G. N. Jukema Emergency Radiology . 2006,第3期

机译：血液动力学不稳定的IV级钝性肝损伤患者的经导管动脉栓塞：非手术治疗是一种选择吗？
4. Conservative surgery versus nonoperative management of splenic injuries in polytrauma patient [C] . Beuran M, Negoi I, Paun S, European Congress of Trauma and Emergency Surgery . 2011

机译：保守手术与多重患者脾损伤的非手术治疗
5. WISC-IV profiles among children and adolescents with traumatic brain injury and non-traumatic acquired brain injury: Implications for service delivery in schools [D] . O'Sullivan, Catherine 2013

机译：患有外伤性脑损伤和非创伤性获得性脑损伤的儿童和青少年的WISC-IV资料：对学校提供服务的影响
6. Nonoperative management for patients with grade IV blunt hepatic trauma [O] . Thiago Messias Zago, Bruno Monteiro Tavares Pereira, Thiago Rodrigues Araujo Calderan, 2012

机译：IV级钝性肝外伤的非手术治疗
7. Nonoperative Management Of Splenic Injury Grade Iv Is Safe Using Rigid Protocol [tratamento Não Operatório De Lesão Esplênica Grau Iv é Seguro Usando-se Rígido Protocolo] [O] . Fernandes T.M., Dorigatti A.E., Pereira B.M.T., 2015

机译：使用硬性方案可安全地对Iv级脾损伤进行非手术治疗
8. Complications of Nonoperative Management of High-grade Blunt Hepatic Injuries. [R] . Kozar, R. A., Moore, J. B., Niles, S. E., 2005

机译：非手术治疗高级钝性肝损伤的并发症。

Nonoperative Management of Grade IV Liver Injury for Elderly Patient

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