Progress in the hemostasis of traumatic liver rupture during interventional embolization

Yi Luo, Juntao Liu, Yuting Chen, Jiaman Li
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Abstract

This paper mainly discusses the progress of hemostasis of traumatic liver rupture in interventional embolization. Traumatic liver rupture is a common intraabdominal traumatic disease in the clinic, and the incidence of right liver injury is generally high. The liver was located under the right diaphragm of the abdominal cavity, deep to both ribs. When subjected to external trauma or acute puncture, it can cause liver rupture and bleeding. If the liver is swollen due to lesions, the chance of liver rupture is relatively large. Severe hemorrhagic shock usually occurs after liver injury, causing bile peritonitis due to bile leakage into the abdominal cavity, and then infection occurs. How to improve the success rate of rescue has always been a difficult problem. This review described the pathological classification, classification and grading of liver rupture and combined with comprehensive studies of hemostatic materials at home and abroad to make a thorough analysis of vascular interventional embolization technique. The purpose of these analyses is to propose that embolization technology has good results for patients with liver rupture and bleeding, which can effectively reduce the disability rate and reduce complications, which is worth advocating clinically. Therefore, with the development of hemostatic materials science, the technology of hemostatic materials and related products has developed greatly, and the vascular interventional embolization technology has been widely improved in the clinical practice of surgery.
介入栓塞术中外伤性肝破裂的止血进展
本文主要探讨外伤性肝破裂介入栓塞术的止血进展。外伤性肝破裂是临床常见的腹腔内创伤性疾病,右肝损伤的发生率普遍较高。肝脏位于腹腔右侧膈下,深达两肋。当受到外力创伤或急性穿刺时,可引起肝破裂出血。如果肝脏因病变而肿胀,肝脏破裂的几率相对较大。肝损伤后通常会发生严重的失血性休克,因胆汁渗入腹腔引起胆汁性腹膜炎,继而发生感染。如何提高抢救成功率一直是个难题。本综述阐述了肝破裂的病理分类、分型、分级,并结合国内外止血材料的综合研究,对血管介入栓塞技术进行了深入分析。这些分析的目的在于提出,栓塞技术对于肝破裂出血患者具有良好的治疗效果,能够有效降低致残率,减少并发症,值得临床提倡。因此,随着止血材料科学的发展,止血材料及相关产品技术得到了很大的发展,血管介入栓塞技术在外科临床实践中得到了广泛的提高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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