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目的介绍一种重度肝破裂的手术方法。方法对1997～2000年期间本院收治的9例重度肝破裂患者在手术中用硬膜外穿刺针引铬制肠线捆扎修补肝破裂止血，在创腔内填塞游离带蒂大网膜以消灭死腔。结果 9例术后出血均得到有效控制，1例因多器官功能衰竭而死亡，痊愈8例，其中并发膈下脓肿1例，右侧胸腔积液2例，胆瘘1例。结论硬膜外穿刺针引肠线捆扎修补重度肝破裂手术操作简单，作为肝外伤术式的补充，适用于基层医院实施早期抢救。“,”Objective This paper is to introduce a new operative technique to repair severe liver rupture．Method From 1997 to 2000，9 patients with severe liver rupture were treated by exploratory laparotomy．During the operation，the rupture was bund and mended with the chromicized catgut that was guided by subdural tap needle，and at the same time，free omental composite flap was filled in the liver cavity to diminish the dead space．Result Bleeding of all patient were successfully controlled by this technique．One patient died of multiple organ failure．8 patients were cured of．One patient was complicated with subphrenic abscess and two patients were complicated with right hydrothorax and onewith biliary fistula．Conclusion The technique described above in severe liver rupture has the advantage of simplifying the operative manipulation．As a complement to operation for liver trauma，this technique is suitable for district hospital to carry out the primary rescue．