闭合性肝外伤76例非手术治疗分析  

Analysis of nonoperative treatment of 76 cases with closed hepatic trauma

作　　者：史坚强[1] 仲海燕[1] 王海霞[1] 刘杨[1] 刘岚云[1] 康晓保[1] 

机构地区：[1]解放军第359医院普外科,江苏镇江212001

出　　处：《临床军医杂志》2011年第3期437-439,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨闭合性肝外伤非手术治疗的方法、效果和适应证。方法回顾性总结1994年1月—2010年12月76例闭合性肝外伤病例非手术治疗的临床资料。结果 71例患者行非手术治疗成功,5例在非手术治疗观察中转为手术治疗,成功率为93.4%。结论闭合性肝外伤应根据全身血流动力学情况、肝外伤程度、外伤部位、有无合并伤等因素决定是否手术治疗,多数非手术治疗可治愈,但需在重症监护条件下严密观察,如出现手术指征需及时中转手术。Objective To analyze the method,curative effect and indication of nonoperative treatment for closed hepatic trauma.Methods The data（from January 1994 to December 2010） of nonoperative treatment of 76 cases with closed hepatic trauma were summarized retrospectively.Results 71 cases were cured,5 cases transferred to operation.The successful rate was 93.4%.Conclusion For the patients with closed hepatic trauma,the hemodynamics,the injury severity and the position of the trauma,and compound injury should be thought to decide whether the operation is necessary.Most of the patients can be cured by nonoperative treatment,but all the patients should be monitored closely in ICU.If the operative indication appears,the patient should be transferred to operation in time.

关 键 词：闭合性肝外伤 非手术治疗 适应证 

分 类 号：R657.3[医药卫生—外科学]