手术治疗外伤性肝破裂23例  

Surgical treatment of patients with traumatic liver rupture: An analysis of 23 cases

作　　者：詹慧春 徐早华 曾卫华 丁华民 傅华群[2] 

机构地区：[1]江西省乐安县第二人民医院,江西省抚州市344301 [2]南昌大学第二附属医院肝胆外科,江西省南昌市330006

出　　处：《世界华人消化杂志》2012年第33期3277-3279,共3页World Chinese Journal of Digestology

摘　　要：目的:总结外伤性肝破裂的手术治疗经验.方法:收集我院2006-2011年手术治疗的23例外伤性肝破裂患者临床资料,进行回顾性分析.结果:23例外伤性肝破裂患者手术治愈20例,死亡3例.死亡病例中,1例死于多脏器联合损伤,肝、脾、肾均破裂,骨盆粉碎性骨折;1例死于胸部严重创伤急性呼吸窘迫综合征;1例死亡于Ⅵ级肝破裂术后继发多器官功能衰竭(multiple organ failure,MOF).肝破裂严重或合并MOF患者死亡率高.早期准确的诊断和正确及时的手术治疗是抢救患者生命、提高治愈率、减少死亡率的关键.结论:对于需手术治疗的患者用最简单的术式,在最短的时间内完成手术能提高存活率,减少并发症.AIM： To summarize our experience with surgi- cal treatment of 23 patients with traumatic liver rupture. METHODS： The clinical data for 23 patients with traumatic liver rupture who were surgical- ly treated from 2006 to 2011 at our hospital were retrospectively analyzed. RESULTS： Of 23 patients with traumatic liver rupture, 20 were cured and 3 died. One patient died of multiple organ injury. Rupture of the liver, spleen and kidney, and pelvic fracture oc- curred in this patient. One patient died of severe chest trauma with acute respiratory distress syndrome （ARDS）, and the other patient died of multiple organ failure （MOF） after surgery for liver rupture. The death rate was higher in patients with serious liver rupture or with com-bined MOF. Early and accurate diagnosis and proper and timely surgical treatment are key to saving the lives of patients and improving the cure rate and death rate.CONCLUSION： Proper and timely surgical treat- ment can improve survival and reduce complica- tions in patients with traumatic liver rupture who require surgical treatment.

关 键 词：外伤 肝破裂 手术 

分 类 号：R657.3[医药卫生—外科学]