Experience of salvage treatment of patients with inferior vena cava injury:a report of 12 cases
- VernacularTitle:下腔静脉损伤的救治经验:附12例报告
- Author:
Qiwen TONG
;
Jianhua HUANG
;
Jianming XIONG
;
Dingjun LI
;
Guowu XU
;
Li CAO
- Publication Type:Journal Article
- Keywords:
Vena Cava,Inferior/inj;
Vascular Injury/surg;
Hemorrhage/prev
- From:
Chinese Journal of General Surgery
1997;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study a repair method for injury of inferior vena cava(IVC).Methods The clinical data of 12cases with inferior vena cava injury were analyzed retrospectively.Results Nine cases were due to blunt trauma and 3 penetrating injury.All cases were in shock at the time of admission and were diagnosed as injury of abdominal organs,but none were diagnosed as injury of inferior vena cava.All 12 cases underwent operative treatment.Five cases were treated by suture of the rupture of IVC successfully,and 2 cases were treated by suture of liver after omental packing the ruptur of IVC,and other 5 cases were treated by gauze packing.Postoperative complications occurred in7 cases(58.3%) and 3 cases(25.0%) died.Among them,1 case died of massive hemorrhage during operation,in 5 cases who were treated by gauze packing and 2 died.Conclusions It is difficult to deal with injury of inferior vena cava,mortality is high and gauze packing together with modified normothermic hepatic vascular exclusion gives good results and merits widespread application.
