肝损伤合并腹腔其它脏器损伤58例诊疗分析  

Diagnosis and Trcatmcnt Analysis of 58 cascs in Abdominal ccliac visccra Injury

作　　者：郭小刚[1] 张彬[1] 贺德栋[1] 

机构地区：[1]新乡医学院第一附属医院,河南卫辉453100

出　　处：《中国民康医学》2008年第13期1439-1440,共2页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨肝损伤合并腹腔其它脏器损伤的诊疗方法。方法:回顾性分析2000年至2007年收治的58例肝损伤合并腹腔其它脏器损伤的临床资料,均行手术治疗。结果:治愈45例,死亡13例,病死率22.4%,死亡原因主要为严重的失血性休克、腹部合并伤、多器官功能衰竭。结论:腹部创伤诊断仍以腹部症状、休征为主要依据,腹腔穿刺、腹部CT检查对诊断腹部脏器损伤的准确率高,根据伤情正确选择治疗方法,积极处理合并伤,可降低病死率。Objective：To summarizc the diagnosis and treatment eompchend of abdominal injuries with other viscera injuries. Methods：Clinical data of 58 patients withabdominal injuries with between 2000 and 2007 were analyzed retrospeetively. Results： 45eases were eured, other 13 cases died. The cause of death was severe incorporate injury, MODS and hemorrhagic shock. Conclusions： Diagnosis of abdominaljinjury was mainly based on elinieal manifestations. But Abdominal paraeentesis, CT examination have high rate exact diagnosis abdominal injury. Emcrgcncy operation was the main treatment, It can reduee rate of death by treating with in-eorporate injury actively.

关 键 词：肝损伤 腹部脏器损伤 手术治疗 

分 类 号：R656[医药卫生—外科学] R657[医药卫生—临床医学]