外伤性肝胆胰脾损伤的治疗体会  

EXPERIENCE IN TREATING HEPATOBILIARY, PANCREATIC AND SPLENIC INJURY

作　　者：周卓龙[1] 杨为民 翁展仪 

机构地区：[1]惠来县人民医院,广东惠来515200 [2]汕头市龙湖区人民医院,广东汕头515041

出　　处：《现代医院》2005年第10期21-22,共2页Modern Hospitals

摘　　要：目的提高外伤性肝胆胰脾损伤的治疗效果. 方法回顾性总结1986年1月～2003年12月间收治的89例外伤性肝胆胰脾损伤病人的治疗情况. 结果手术治疗75例,治愈73例,死亡2例,死亡率为2.7%;非手术治疗14例,成功12例,中转手术治愈2例. 结论外伤性肝胆胰脾损伤在治疗原则上应早期积极手术治疗,带蒂大网膜在手术中是一种良好的辅助材料;对一些通过检查提示损伤程度较轻,全身状况稳定,内出血量较少,不合并其它脏器损伤的病人,可在严密观察下行非手术治疗.Objective To improve the treatment of hepatobiliary, pancreatic and splenic injury. Methods 89 cases of hepatobiliary, pancreatic and splenic injury from Jan. 1986 to Dec. 2003 were analyzed retrospectively. Results 73 were cured and 2 were dead; in 75 operation cases the death rate was 2.7%. Non-operation treatment was used in 14 cases of which 12 were successfully recovered but the other 2 were cured by surgery. Conclusion Surgery in forepart is the principle of treating hepatobiliary, pancreatic and splenic injury. Epiploon with pedicel is a good assistant material in surgery. Non-operation therapy can be used in the patients with less severe injury, steady symptoms and vital signs, less bleeding and no other organs injuries.

关 键 词：肝胆胰脾损伤 手术 非手术 带蒂大网膜 

分 类 号：R644[医药卫生—外科学] R657[医药卫生—临床医学]