肝尾状叶损伤外科诊治分析  

Diagnosis and Treatment of Hepatic Caudate Trauma

作　　者：刘玉河[1] 王鹏[1] 李庆勇[2] 刘建刚[1] 

机构地区：[1]泰山医学院附属医院普外科,山东泰安271000 [2]泰安市中心医院普外科,山东泰安271000

出　　处：《社区医学杂志》2006年第10S期10-12,共3页Journal Of Community Medicine

摘　　要：目的分析肝尾状叶损伤的原因及治疗效果,探讨其治疗方法。方法回顾性分析近10年来作者治疗的肝损伤病例482例,其中肝尾状叶损伤者17例,分别从其解剖特点、损伤机制、诊断和治疗等方面进行分析。结果本组17例均给予手术治疗,其中13例治愈,治愈率76.5%。死亡4例,死亡率23.5%(4/17)。死亡4例均有严重的合并伤,分别死于颅脑损伤、失血性休克、多器官功能衰竭等。结论肝尾状叶损伤术目前确诊困难多数在术中发现,术中仔细探查避免漏诊。肝尾状叶损伤应及时选择适宜的手术治疗。Objective To improve diagnosis and trestment of hepatic caudate lobe trauma.Methods Retrospectively analysis was made on 17 cases of hepatic caudate trauma , in 482 cases of liver injuries that had been treated nearly ten years, including anatomy, injuring cause, dignosis and treatment. Results All 17 cases of hepatic caudate lobe trauma were treatedby operation. 13 cases were cured, but 4 cases died. Cure rate was 76.5%, and mortality was 23.5%. All 4 died cases had severe complicate injuries, and died ofbrain injury, hemorrhagic shock and multiple organ function failure. Conclusion It was difficult that hepatic caudate trauma had been dignosised at preoperation, and most of them were found in operation. And we avoided failing to manage by careful exploration. The properly operation should be selected in time.

关 键 词：肝尾状叶 损伤 治疗 

分 类 号：R657.32[医药卫生—外科学]