台灣外科醫學會雜誌

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	第28卷第3期 1995-6 A New Technique for Excision of Neonatal Ovarian Cyst
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	第28卷第3期 1995-6 Endotracheal Tube as an Atrial Caval Shunt to Rescue a Juxtahepatic Venous Injury
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	第28卷第3期 1995-6 Gastric Leiomyoblastoma
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	第28卷第3期 1995-6 Traumatic Dislocation of the Testis: Report of Two Cases
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	第28卷第3期 1995-6 W arfarin-induced lieus (Hemoperitoneum and Jejunal Intramural Hematoma): a Case Report and Review of Literature
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	第28卷第3期 1995-6 Temporalis Muscle Swelling Secondary to Chronic Mandibular Third Molar Pericoronitis
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	第28卷第3期 1995-6 Retrograde Jejunogastric Intussusception: A Rare Complication After Billroth II Subtotal Gastrectomy一A Cαse Report
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	第28卷第3期 1995-6 Septic Cavernous Sinus Thrombosis Complicating Facial Furuncle: Case Report
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	第28卷第3期 1995-6 No Drain for Perforated Appendicitis in Children: A Single Institute Experience
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	第28卷第3期 1995-6 Eight Years of Experience of Augmentation Mammaplasty: A Retrospective Study
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	第28卷第3期 1995-6 Post-Injection Rectus Femoris Contracture
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	第28卷第3期 1995-6 Abdominal Tuberculosis: A Retrospective Review of 26 Patients .in a District General Hospital of Southern Taiwan
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	第28卷第3期 1995-6 Angiosarcoma of the Head and Neck
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	第28卷第3期 1995-6 Multiple Primary Malignant Neoplasms in Gastric Cancer Patients
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	第28卷第3期 1995-6 Change of Serum Levels of Vitamin E in Adults after Relief from Obstructive Jaundice
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	第28卷第3期 1995-6 Historical Perspectives of Organ Transplantation
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	第28卷第4期 1995-8 Perforation of the Gall Bladder following Blunt Abdominal Trauma一A Cαse Report
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	第28卷第4期 1995-8 Acute Traumatic Abdominal Wall Hernia
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	第28卷第4期 1995-8 A Case Report of Splenic Inflammatory Pseudotumor
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	第28卷第4期 1995-8 Congenital Adrenal Hyperplasia with Urogenital Sinus: A Case Report
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篇名	Endotracheal Tube as an Atrial Caval Shunt to Rescue a Juxtahepatic Venous Injury
作者	Jing-Wen Sheu, Yih-Huei Uen, Yee-Phoung Chang
卷期/出版年月	28卷3期 (1995/6)
頁次	241-244
摘要	Blunt hepatic trauma assoiciated with juxtahepatic venous injury results in a high mortality rate. The optimal method of dealing with such an irljury remains controversial. A 25-year-old male with Grade IV hepatic trauma was managed successfully by right lobectomy after insertion of an endotracheal tube through the atrial appendage to the level of the suprarenal cava, via median sternotomy. The atrial ca val shunt is an aggressive and effective method which can well control hemorrhage before the onset of coagulopathy or hypothermia. The endotracheal tube as a shunt has enough size for blood flow back to the heart, and also it is inexpensive and convenient, making it a very useful rescue procedure.
關鍵詞	atriocaval shunt, juxtahepatic venous injury
分類	Case Report