损伤控制性手术治疗严重创伤性肝破裂的临床效果分析  

Clinical effect of damage control operation in treatment of severe traumatic liver rupture in primary hospitals

作　　者：高励斌 桑卫东[1] 

机构地区：[1]安徽省铜陵市人民医院急诊外科,安徽铜陵244000

出　　处：《临床和实验医学杂志》2016年第15期1523-1525,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨损伤控制性手术治疗严重创伤性肝破裂的临床效果。方法选择严重创伤性肝破裂行急诊手术的患者共48例,分为研究组与对照组(每组24),研究组予以损伤控制性手术治疗,对照组予以常规手术治疗。比较两组手术效果与并发症的发生率。结果研究组手术时间(134.2±24.5 min)与病死率(12.5%)显著低于对照组(177.3±30.2 min,33.3%),抢救成功率(87.5%)显著高于对照组(66.7%);对照组胆瘘发生率(8.3%)与肺部感染的发生率(33.3%)显著高于研究组(0,16.7%);差异均有显著性(P<0.05)。结论对严重创伤性肝破裂的患者,与常规急诊手术相比,损伤控制性手术可有效缩短手术时间,提高抢救成功率,减少术后并发症的发生。Objective To explore the damage control operation in treatment of severe traumatic liver rupture. Methods A total of 48 pa-tients with severe traumatic liver rupture were collected,and they were divided into study group and control group（n = 24）. Damage control oper-ation had been applied in patients of study group,and patients in control group received conventional surgery. The effect of surgical treatment and incidence of complications were compared between these 2 groups. Results The operating time（134. 2 ± 24. 5 min）and mortality rate（12. 5% ） of patients in study group were significantly lower than those of patients in control group（177. 3 ± 30. 2 min,33. 3% ）,and the rate of successful rescue（87. 5% ）was significantly higher（66. 7% ）. The incidence rates of biliary fistula（8. 3% ）and pulmonary infections（33. 3% ）in pa-tients of control group were significantly higher than those of patients in study group（0,16. 7% ）. ConclusionIn comparison with conventional emergerncy surgery for patients with severe traumatic liver rupture,damage control operation for patients with severe traumatic liver rupture can effec-tively shorten the operating time,raise the successful rate and reduce the incidence of postoperative complications,hence it is worthy to be promoted.

关 键 词：创伤性肝破裂 急诊治疗 损伤控制性手术 

分 类 号：R657.3[医药卫生—外科学]