肝破裂的诊断及治疗  

Diagnosis and surgical treatment of hepatorrhexis

作　　者：叶春[1] 范跃祖[1] 鲁星燧[1] 

机构地区：[1]同济大学附属同济医院普外科,上海200065

出　　处：《同济大学学报（医学版）》2008年第1期93-95,98,共4页Journal of Tongji University(Medical Science)

摘　　要：目的总结肝破裂的诊断及外科的各种治疗方法,以提高对肝破裂诊治的进一步认识。方法回顾性分析2000年1月至2007年2月我院收治的116例肝破裂的临床资料及诊治情况。其中手术治疗91例,手术方式包括单纯修补、清创性肝切除、部分肝叶切除、肝周填塞止血或加选择性肝动脉结扎;非手术治疗25例。结果手术组治愈83例（其中2例为非手术治疗中转手术）,死亡8例,其中手术死亡4例;非手术组治愈25例,均无死亡。全组治愈108例,死亡8例,死亡率7.4%。结论Ⅰ-Ⅱ级单纯性肝破裂可保守治疗;准确评估患者的病情,选择正确的手术方式,积极处理合并伤,可降低病死率。Objective To summarize the diagnosis and surgical treatment of hepatorrhexis. Methods From January 2000 to February 2007, data of 116 patients with hepatorrhexis were analyzed retrospectly. Ninetyone eases received operative surgery including simple repair, debridement, segmental liver resection and hepaticfilling hemostasis while other 25 cases were free of operation. Results In the operation group, 83 cases were cured, 8 patients died. In the nonoperation group,25 cases were cured, nobody died. In this study, 108 patients were cured, 8 died; fatality rate was 7.4 %. Conclusion Non-surgical treatment is justified for degree Ⅰ- Ⅱ hepatorrhexis. To evaluate the disease of patients correctly and select the appropriate operative pattern may reduce its fatality rate.

关 键 词：肝破裂 诊断 外科治疗 

分 类 号：R735.9[医药卫生—肿瘤]