闭合性肝破裂非手术治疗诊治及手术干预的时机选择  

Non-surgical treatment or the timing of surgical intervention to closed liver rupture

作　　者：周晟昂[1] 蔡文伟[1] 

机构地区：[1]3J0014杭州,浙江省人民医院急诊科

出　　处：《中国急救复苏与灾害医学杂志》2012年第9期819-821,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的研究闭合性肝破裂手术干预时机的选择，既减少手术二次创伤，又避免延误最佳手术时机，提高生存率。方法对2005年6～2011年6月该院收治的82例闭合性肝破裂患者进行系统回顾分析。结果非手术治疗58例（70．7％），全部治愈；24例（29．3％）在严密监测观察过程中因病情变化转手术治疗，其中治愈22例（91．7％）；死亡2例。结论对于血流动力学稳定的患者，合理运用非手术的保守治疗具有优势；而选择正确的时机进行手术干预对于预后有着重要意义。Objective Explore the timing of surgical intervention to closed hepatic trauma in reducing chance for the second wound, and bringing the best prognosis. Methods Retrospectively analyze the 82 cases of closed liver rupture in between June, 2005 and June, 2011. Results 58 patients （70.7%） were cured with non-surgical treatment, 24 （29.3%） received surgical treatment under strict monitoring and observation in the course of change. 22 were cured （91.7 %）, with two cases of death. Conclusion Non-surgical treatment may carry out advantages to thermodynamically stable patients, while perfect timing of surgical intervention is significant for prognosis.

关 键 词：闭合性肝破裂 非手术治疗 手术干预 

分 类 号：R641[医药卫生—外科学]