合并肝硬化肝外伤治疗探讨  

Investigation into treatment of hepatic trauma with liver cirrhosis

作　　者：曲明[1] 刘延军[1] 王营[1] 尹惠生[1] 杜英东[1] 张成钧[1] 

机构地区：[1]解放军107医院肝胆外科,山东烟台264002

出　　处：《中华普通外科学文献（电子版）》2011年第6期18-20,共3页Chinese Archives of General Surgery(Electronic Edition)

摘　　要：目的探讨合并肝硬化肝外伤治疗方法。方法回顾性分析1995年1月至2010年1月我院合并肝硬化肝外伤24例,非手术治疗6例,手术治疗18例。结果治愈22例,死亡2例。非手术治疗6例,均治愈,其中1例发生胆瘘,经B超引导下穿刺置管引流治愈。手术治疗18例,2例分别因术中失血性休克和术后肝功能衰竭死亡,16例治愈,其中术后胆道出血1例,保守止血痊愈;胆瘘1例,充分引流治愈。结论合并肝硬化肝外伤需及时采取有效治疗方法,术中仔细操作,注意处理合并伤,积极维护肝功能,提高治愈率。Objective To investigate the treatment of hepatic trauma with liver cirrhosis. Methods Twenty-four cases of patients with liver cirrhosis which undergoing hepatic trauma from January 1995 to January 2010 were studied retrospectively. There were 18 cases with operative treatment, while 6 cases with conservative treatment. Results Twenty-two cases were cured, while 2 cases died. Six cases with conservative treatment were cured, including one case occurred biliary fistula and was cured by catheter drainage through ultrasonic guidance. Among 18 cases under operation, 16 cases were cured （one case occurred hemohiliaand was cured through conservative hemostasis, one case occurred hiliary fistula and was cured through sufficient drainage）. Two cases died of hemorrhagic shock and postoperative liver function failure respectively. Conclusion Effective treatment should be immediately performed when it comes to hepatic trauma with cirrhosis. Careful handling, attentive management of associated injury, active protection of hepatic function are the key to improve cure rate.

关 键 词：肝硬化 肝脏损伤 治疗 

分 类 号：R657.3[医药卫生—外科学]