小儿肝外伤的非手术治疗  

NONOPEATIVE MANAGEMENT OF HEPATIC INJURT IN CHILDREN

作　　者：刘远梅[1] 肖现民[2] 

机构地区：[1]遵义医学院附属医院,遵义563003 [2]复旦大学附属医院儿科

出　　处：《肝胆外科杂志》2001年第6期451-452,共2页Journal of Hepatobiliary Surgery

摘　　要：目的　探讨小儿肝外伤非手术治疗方法及适应证。方法 :通过对 2 8例小儿肝外伤血流力学及影像学的追踪观察 ,对其进行非手术治疗 ,其中肝包膜下血肿 16例 ( 5 7.1% ) ,肝破裂实质内血肿 12例 ( 4 2 .9% ) ;主要治疗措施是输血、止血 ,平均输血量 2 2 ml/kg。结果 :治愈 2 6例 ( 92 .9% ) ,中转手术 2例。结论 :根据小儿生理、解剖特点 ,大部分小儿肝外伤可采用非手术治疗 ,密切观察患儿生命体征、监测血红蛋白、血球压积及血流动力学指标 。Objective To study the nonoperative treatment indication for liver injury in children.Methods 28 cases with liver injury who underwent nonoperative management were analyzed by hemodynamics and iconography.16 cases (57.1%) had subcapsular hematoma and 12(42.9%) had intraparenchymatous hematoma.The main treatment procedures included blood trasfusion and hemostasis,the average quantity of blood trasfusion is 22ml/kg.Results The 26 ases(92.9%) were cured.2 cases received the operation.Conclusion Most cases with liver injury in children can be cured by nonoperation management.according to the physiological and anatomic feature of children.The key treatments are to observe the vital sign,monitor the hemodynamic parameters and surveiling heamoglobin and hematocrit.

关 键 词：肝外伤 血流力学 非手术治疗 儿童 

分 类 号：R657.32[医药卫生—外科学]