闭合性肝外伤的诊治分析：附135例报告  

Diagnosis and treatment of blunt liver injury （ a report of 135 cases）

作　　者：李忠华[1] 宿士智[1] 于进[1] 

机构地区：[1]北京市大兴区人民医院普外科,北京102600

出　　处：《国际外科学杂志》2011年第10期672-674,共3页International Journal of Surgery

摘　　要：目的探讨闭合性肝外伤诊治的有效途径。方法对2000年1月-2010年10月收治的135例闭合性肝外伤的病例进行回顾性分析。结果按美国创伤外科学会（AAST）标准分级法，本组135例Ⅰ级36例，Ⅱ级42例，Ⅲ级33例，Ⅳ级14例，Ⅴ级10例；其中非手术治疗51例，成功42例，9例中转手术；手术治疗93例，死亡7例，病死率5．19％。结论对血液动力学稳定的患者可考虑非手术治疗，但必须严密监测生命体征的变化；及时、合理地选择手术时机、手术方式是减少并发症、降低病死率的关键。Objective To study the effective method of improving the diagnosis and treatment of blunt liver injury. Methods The clinical data of 135 cases with blunt liver injury hospitalized in Daxing District People＇ s Hospital from January 2000 to October 2010 were reviewed retrospectively. Results By standard grading of American Society of Trauma Surgery （AAST） in 1994, 36 cases were grade I, 42 cases grade II , 33 cases grade III, 14 cases grade IV, 10 cases grade V. Fifty-one cases were treated by non-operative ther- apy, among which 42 cases were clued, 9 cases underwent operative surgery. Ninety-three cases were treated by operative therapy, seven cases died. The morbidity related to blunt liver injury was 5.19%. Conclusions Non-operative therapy may be used firstly in patients with stable hemodynamics, but close monitoring should be done for changes of the life signs. Timely and reasonable choice of time and the way of surgery is important to avoid complications and reduce the mortality rate.

关 键 词：肝外伤 诊断 治疗 手术治疗 非手术治疗 

分 类 号：R657.3[医药卫生—外科学]