Objective To investigate one week self-made water balloon tamponade severe hepatic trauma wounds with oozing. Methods Self-made water balloons were applied to severe liver injury with bleeding for one week after removal of necrotic liver tissue and wound suture surgery, or severe liver injury unsuitable for excessive opera-tor. The hemostasis results were observed after that treatment. Results In nine patients, no bleeding occurred after remov-al of oppression with a 24 h drainage of 200~500 ml, and the gauze and bladders were removed after 5~12 days with an av-erage of 7.8 day. One case was performed debridement liver surgery after three days. One case after tamponade, was turned to other hospital for definitive surgery. One case with subphrenic infection was performed debridement 12 days postopera-tive and cured. Conclusion One week oppression of self-made water balloon tamponade to treat severe liver bleeding is effective and simple, which is a practical method to stop bleeding and worthy of application.%目的：研究自制水囊肝周填塞治疗严重肝外伤肝创面渗血的效果。方法严重肝外伤经清除坏死肝组织、创面缝合术后仍有渗血，或肝严重伤不适宜作过多操作者，予自制水囊肝周填塞，观察止血效果。结果本组9例患者无发生拔除压迫后再出血情况，术后24 h引流量仅为200~500 ml，纱布和水囊5~12 d拔除，平均7.8 d，1例3 d后行清创性肝切除手术，1例经填塞止血后转上级医院行确定性手术，1例发生膈下感染，术后12 d再予清创，治愈，无死亡病例。结论自制水囊肝周填塞压迫严重肝外伤出血，效果显著，操作简单，是一种较为实用的止血方法，值得推广。
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