39例严重外伤性肝破裂诊治体会  

The experience of diagnosis and treatment of 39 cases of severe traumatic liver rupture

作　　者：谢应海[1] 李瑞[1] 孙杰[1] 陈先志[1] 王从玉[1] 王琦[1] 

机构地区：[1]安徽省淮南市第一人民医院普外科,淮南232007

出　　处：《肝胆外科杂志》2016年第5期382-385,共4页Journal of Hepatobiliary Surgery

摘　　要：目的探讨严重外伤性肝破裂患者的临床诊断和治疗方法。方法对39例严重外伤性肝破裂患者临床资料及诊疗措施做回顾性分析,其中Ⅲ级29例,Ⅳ级7例,Ⅴ级2例,Ⅵ级1例。结果 39例患者中38例均手术治疗,1例行保守治疗,其中治愈31例(79.5%),死亡8例(20.5%);术后并发症17例,占43.6%。结论遵循损伤控制性原则,早期诊断并进行有效抗休克治疗,治疗的关键是根据患者肝脏损伤情况选择正确的手术方式。Objective To explore the clinical diagnosis and treatment of severe traumatic rupture of the liver patients. Meth- ods A retrospective analysis of 39 cases of severe traumatic rupture of liver in patients with clinical data and treatment measures, in- cluding 29 cases in grade Ⅲ, 7 cases in grade Ⅳ, 2 cases in grade Ⅴ, 1 cases of grade VI injury. Results Of 39 cases, 38 cases were treated by operation, 1 cases received conservative treatment, 31 cases were cured （79. 5% ）, 8 cases of death （20. 5% ） ; 17 cases of postoperative complications, accounting for 43.6%. Conclusion Follow the principle of damage control, early diagnosis and effective anti shock treatment, the key is to choose the correct operation method according to the liver injury of the patients.

关 键 词：严重外伤性肝破裂 损伤控制性原则 诊断 治疗 

分 类 号：R575[医药卫生—消化系统]