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篇名	Hepatic Artery Ligation and Peri-Hepatic Packing in the Management of Major Liver Trauma: Case Reports
作者	Shih-Chi Wu, Feng-Chi, Yi-Chin Kao, Ray-Jade Chen
卷期/出版年月	33卷1期 (2000/2)
頁次	30-35
摘要	Major hepatic trauma is often encountered in the emergent room after svere traffic accidents or impacting injuries. However, the liver is the most vulnerable intra-avdominal organ to trauma. Most liver injuries (80~90%) are minor (Grade I~II) which require only close observation and supportive treatment, the remaining 10% (GrIII~V) are major injuries and uneasy to handle. Controlling hemorrhage from wounds of the liver is difficult, many traditional methods of achieving hemostasis have variable success rates. We present our experiences in three cases of using hepatic artery ligation (HAL) as an adjuvant method for those that bleeding were controlled initially by peri-hepatic packing and Pringle maneuver but with persistent hemorrhage after releasing portal traid occlusion. Successful hemostasis were obtained 48~72 hours after removal of packs, no significant hepatic function deficits observed except one patient. All patients survived.
關鍵詞	hepatic artery ligation (HAL), peri-hepatic packing
分類	Case report