严重肝外伤46例诊治体会  

Experience of diagnosis and treatment for severe liver trauma:a report of 46 cases

作　　者：李志锋[1] 罗贤茂[1] 王晓东[1] 

机构地区：[1]亳州市人民医院,亳州236800

出　　处：《肝胆外科杂志》2012年第1期51-52,共2页Journal of Hepatobiliary Surgery

摘　　要：目的总结严重肝外伤的手术处理经验。方法回顾性分析我院2000～2010年46例接受手术治疗的严重肝外伤患者的临床资料,手术方式及术后疗效。结果参照AAST对肝脏外伤的分级:Ⅲ级28例,Ⅳ级12例,Ⅴ级6例。痊愈40例,死亡6例。结论手术是治疗严重肝外伤的有效方法,尽快救治失血性休克,术中彻底止血,充分引流以及预防术后并发症是治疗严重肝外伤的有效措施。Objective Surgical treatment of severe liver trauma experience. Methods A retrospective analysis of 46 cases 2000-2010 in our hospital undergoing surgery for severe liver trauma clinical data, surgical and postoperative effects. Results According to AAST liver injury grade： m Level 28 cases, IV Level 12 cases, V Level 6 cases. Cured 40 cases, 6 died, Conclnsion The surgery is an effective method of severe liver injury, hemorrhagic shock treatment as soon as possible, a thorough intraoperative bleeding, adequate drainage and prevention of complications after surgery is an effective measure for severe liver trauma.

关 键 词：肝外伤 失血性休克 肝切除术 

分 类 号：R575[医药卫生—消化系统]