严重肝破裂术后并发症防治  

Prevention and treatment of the postoperative complications of severe liver rupture

作　　者：王伟[1] 荚卫东[1] 吕阳[1] 

机构地区：[1]安徽省立医院普外科,合肥230001

出　　处：《国际外科学杂志》2012年第10期681-683,共3页International Journal of Surgery

摘　　要：目的总结严重肝破裂术后并发症的原因及防治经验。方法回顾性分析安徽省立医院普外科2005年1月-2012年7月经手术治疗66例严重肝破裂患者的临床资料，对术后并发症的处理方法进行总结。结果严重肝破裂66例患者中，术后死亡9例，共出现并发症22例。其中胆瘘5例，肝脓肿3例，膈下脓肿3例，右侧胸腔积液8例，再出血2例，应激性溃疡出血2例。结论运用损伤控制理论可以提高手术治愈率，肝断面的精细处理和术后精良的管理可以减少严重肝外伤破裂术后总体并发症。Objective To evaluate the causes of postoperative complications in severe liver rupture and explore the prevention experiences. Methods The clinical data of 66 liver rupture patients who underwent surgical treatment in our hospital from January 2005 to July 2012 were retrospectively analyzed. The common complications after surgery and the treatment measures of the complications were studied. Results There were 9 deaths of severe liver rupture after surgery and related complications were found in 22 cases, including bile leakage （5 cases）, intrahepatic abscess （ 3 cases）, subphrenic infection （ 3 cases）, pleural effusion （ 8 cases）, intraabdominal hemorrhage （2 cases）, stress ulcer bleeding （2 cases）. Conclusions Using damage control theory could improve the cure rate. Precise liver transection and postoperative excellent management was able to reduce the incidence of postopera- tive complications in severe liver rupture.

关 键 词：肝 破裂 创伤和损伤 手术后并发症 

分 类 号：R657.3[医药卫生—外科学]