Nonoperative Management of Abdominal Solid Viscus Injuries_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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蒋力生

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肝脾胰; 损伤

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腹部实质脏器损伤的经典治疗原则是剖腹探查,及时的手术探查救治了不少腹部实质脏器损伤患者的生命，但也有不少本不需手术的患者遭受了剖腹手术的痛苦。随着基础和临床研究的进展，非手术治疗腹部实质脏器损伤已广泛用于临床，甚至超过了手术治疗。

Citation： 蒋力生. Nonoperative Management of Abdominal Solid Viscus Injuries. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(2): 165-167. doi: Copy

1.	Pachter HL, Guth AA, Hofstetter SR, et al. Changing patterns in the management of splenic trauma: the impact of nonoperative management [J]. Ann Surg, 1998; 227(5)∶ 708.
2.	Wasvary H, Howells G, Villalba M, et al. Nonoperative management of adult blunt splenic trauma: a 15year experience [J]. Am Surg, 1997; 63(8)∶694.
3.	Pachter HL, Hofstetter SR. The current status of nonoperative management of blunt hepatic injuries [J]. Am J Surg, 1995； 169(4)∶442.
4.	Karp MP, Cooney DR, Pros GA, et al. The nonoperative management of pediatric hepatic trauma [J]. J Pediatr Surg, 1983; 18(4)∶512.
5.	Carrillo EH, Platz A, Miller FB, et al. Nonoperative management of blunt hepatic trauma [J]. Br J Surg, 1998; 85(4)∶461.
6.	Pachter HL, Knudson MM, Esrig B, et al. Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients [J]. J Trauma, 1996; 40(1)∶31.
7.	Boone DC, Federle M, Billiar TR, et al. Evolution of management of major hepatic trauma: identification of patterns of injury [J]. J Trauma, 1995; 39(2)∶ 344.
8.	Croce MA, Fabian TC, Menke PG, et al. Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients. Results of a prospective trial [J]. Ann Surg, 1995; 221(6)∶744.
9.	Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ injury scaling: spleen and liver (1994 revision) [J]. J Trauma, 1995; 38(3)∶323.
10.	Federle MP, Jeffrey RB Jr. Hemoperitoneum studied by computed tomography [J]. Radiology, 1983; 148(1)∶187.
11.	Hammond JC, Canal DF, Broadie TA. Nonoperative management of adult blunt hepatic trauma in municipal trauma center [J]. Am Surg, 1992; 58(9)∶551.
12.	Sugimoto K, Asari Y, Sakaguchi T, et al. Endoscopic retrograde cholangiography in the nonsurgical management of blunt liver injury [J]. J Trauma, 1993; 35(2)∶192.
13.	Godley CD, Warren RL, Sheridan RL, et al. Nonoperative management of blunt splenic injury in adults: age over 55 years as a powerful indicator for failure [J]. J Am Coll Surg, 1996; 183(2)∶133.
14.	Hawkins ML, Wynn JJ, Schmacht DC, et al. Nonoperative management of liver and/or splenic injuries: effect on resident surgical experience [J]. Am Surg,1998; 64(6)∶552.
15.	Goan YG, Huang MS, Lin JM. Nonoperative management for extensive hepatic and splenic injuries with significant henoperitoneum in adults [J]. J Trauma, 1998; 45(2)∶360.
16.	Brasel KJ, Delisle CM, Olson CJ, et al. Trends in the management of hepatic injury [J]. Am J Surg, 1997; 174(6)∶674.
17.	Ciraulo DL, Luk S, Palter M, et al. 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]. J Trauma, 1998; 45(2)∶353.
18.	Moore EE, Cogbill TH, Malangoni MA, et al. Organ injury scaling, Ⅱ: pancreas, duodenum, small bowel, colon, and rectum [J]. J Trauma, 1990; 30(11)∶1427.

1. Pachter HL, Guth AA, Hofstetter SR, et al. Changing patterns in the management of splenic trauma: the impact of nonoperative management [J]. Ann Surg, 1998; 227(5)∶ 708.
2. Wasvary H, Howells G, Villalba M, et al. Nonoperative management of adult blunt splenic trauma: a 15year experience [J]. Am Surg, 1997; 63(8)∶694.
3. Pachter HL, Hofstetter SR. The current status of nonoperative management of blunt hepatic injuries [J]. Am J Surg, 1995； 169(4)∶442.
4. Karp MP, Cooney DR, Pros GA, et al. The nonoperative management of pediatric hepatic trauma [J]. J Pediatr Surg, 1983; 18(4)∶512.
5. Carrillo EH, Platz A, Miller FB, et al. Nonoperative management of blunt hepatic trauma [J]. Br J Surg, 1998; 85(4)∶461.
6. Pachter HL, Knudson MM, Esrig B, et al. Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients [J]. J Trauma, 1996; 40(1)∶31.
7. Boone DC, Federle M, Billiar TR, et al. Evolution of management of major hepatic trauma: identification of patterns of injury [J]. J Trauma, 1995; 39(2)∶ 344.
8. Croce MA, Fabian TC, Menke PG, et al. Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients. Results of a prospective trial [J]. Ann Surg, 1995; 221(6)∶744.
9. Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ injury scaling: spleen and liver (1994 revision) [J]. J Trauma, 1995; 38(3)∶323.
10. Federle MP, Jeffrey RB Jr. Hemoperitoneum studied by computed tomography [J]. Radiology, 1983; 148(1)∶187.
11. Hammond JC, Canal DF, Broadie TA. Nonoperative management of adult blunt hepatic trauma in municipal trauma center [J]. Am Surg, 1992; 58(9)∶551.
12. Sugimoto K, Asari Y, Sakaguchi T, et al. Endoscopic retrograde cholangiography in the nonsurgical management of blunt liver injury [J]. J Trauma, 1993; 35(2)∶192.
13. Godley CD, Warren RL, Sheridan RL, et al. Nonoperative management of blunt splenic injury in adults: age over 55 years as a powerful indicator for failure [J]. J Am Coll Surg, 1996; 183(2)∶133.
14. Hawkins ML, Wynn JJ, Schmacht DC, et al. Nonoperative management of liver and/or splenic injuries: effect on resident surgical experience [J]. Am Surg,1998; 64(6)∶552.
15. Goan YG, Huang MS, Lin JM. Nonoperative management for extensive hepatic and splenic injuries with significant henoperitoneum in adults [J]. J Trauma, 1998; 45(2)∶360.
16. Brasel KJ, Delisle CM, Olson CJ, et al. Trends in the management of hepatic injury [J]. Am J Surg, 1997; 174(6)∶674.
17. Ciraulo DL, Luk S, Palter M, et al. 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]. J Trauma, 1998; 45(2)∶353.
18. Moore EE, Cogbill TH, Malangoni MA, et al. Organ injury scaling, Ⅱ: pancreas, duodenum, small bowel, colon, and rectum [J]. J Trauma, 1990; 30(11)∶1427.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Nonoperative Management of Abdominal Solid Viscus Injuries

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