Objective:To evaluate the operative value in patients with severe liver injuries by applying techniques of the hepato petal blood occlusion of half liver(HBOHL),packing hemostasis with self making parcels and sewing(PHPS), and the low negative pressure sustained suction drainage(LSSD) with the use of suction therapeutic apparatus model S 20.Methods:From June 1990 to June 2000,66 patients with severe liver trauma were randomized into two groups according to the different therapeutic measures to be taken,and their data were retrospectively analyzed for operative methods and therapeutic effects. 31 cases in group A with severely wounded liver were managed by three techniques: total hepatopetal vascular exclusion by Pringle's way,hemostasis with packing major omentum or gelatin sponge,and negative pressure temporal suction drainage by double casing spring's suction apparatus from June 1990 to July 1997.Results:The death rate and the incidence of early operative complications in group B were 2.9% and 128.6% respectively,remarkably higher than those in group A(0,61.3% respectively)(P0.05).Conclusion:The results suggest that having such virtues as the effective hemostasis,low occurence rate of early post operative complications and rapid recovery of postoperative function,it is considered a good surgical therapeutic measure to be combined with those techniques of the hepatopetal blood occlusion of half liver,packing hemostasis with self making parcels and sewing,and LSSD.

空肠移植重建食管的供区血管较多，但以胃网膜右血管作为空肠移植的供区血管尚未见有报道。自1981年以来，我院应用显微外科技术施行空肠移植重建食管45例，其中25例应用胃网膜右动、静脉作为供区血管，取得了较好的效果。现报告如下。

探讨闭合性腹部创伤中小肠破裂早期隐匿性临床特点的成因及其诊治要点,以提高早期检出率和治愈率,进一步提高腹部创伤的救治水平.

1980～1998年,我院收治20例食管化学性灼伤患者,现对手术时机选择、常用术式的优缺点及适应症等探讨如下.

Forty-five esophageal reconstructions were carried out using a free or pedicled transfer of jejunal segments. Thirty were performed for benign stenosis or atresia, and 13 were performed for malignancy. The remaining two were used to repair anastomotic leakage or fistulization resulting from prior esophagogastrostomy. Average anastomotic arterial and venous diameters were 1.2 mm and 3.0 mm respectively. Of the 45 reconstructions, 44 were successful; the single failure was the result of tearing of the mesenteric arcade. There were four fatalities. Jejunal transfer is an effective method of esophageal reconstruction.