摘要
To the Editor： Bleeding from the liver capsule or located at the center of liver triggered by accidental trauma or iatrogenic trauma is always challenging surgeons＇ decision-making in clinical practice. According to our past 20-year experiences, this type of liver is becoming an occult killer because of its uncertain time of abrupt rupture, which severely threatens the patients＇ lives. Based on our study, both excessive conventional conservative therapy and excessive earlier surgical intervention have adverse effect on the mortality rate, especially among the patients in intensive care unit. Hence, optimized treatment strategy and proper time for surgery are of crucial importance.
To the Editor： Bleeding from the liver capsule or located at the center of liver triggered by accidental trauma or iatrogenic trauma is always challenging surgeons＇ decision-making in clinical practice. According to our past 20-year experiences, this type of liver is becoming an occult killer because of its uncertain time of abrupt rupture, which severely threatens the patients＇ lives. Based on our study, both excessive conventional conservative therapy and excessive earlier surgical intervention have adverse effect on the mortality rate, especially among the patients in intensive care unit. Hence, optimized treatment strategy and proper time for surgery are of crucial importance.
