不规则性肝切除对严重肝外伤的诊治效果观察  

Irregularity observation of effect of diagnosis and treatment of severe liver trauma of liver resection

作　　者：于雷[1] YU Lei(Guizhou Aerospace Hospital Liver and Gallbladder Surgery Department,Zunyi 563000,Guizhou)

机构地区：[1]贵州航天医院肝胆外科,贵州遵义563000

出　　处：《安徽卫生职业技术学院学报》2020年第4期40-41,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨分析不规则肝叶切除手术在严重肝外伤的临床诊治效果。方法:选取医院收治的86例严重肝外伤患者,均采取不规则性肝切除手术治疗,分析临床治疗效果。结果:患者手术平均时间(86.3±13.7)min;其中,第一肝门的阻断平均时间(17.6±4.1)min;患者术后治愈38例、死亡2例;死亡案例包括术后合并DIC死亡1例、术后颅脑损伤合并脑疝死亡1例;纳入患者合并胆漏1例,并发症发生率为1.16%,经保守治疗后治愈。结论:严重肝外伤患者采取不规则肝切除治疗手术的操作便捷且有效,该术式具有临床推广与应用价值。Objective:To study the analysis of irregular lobe resection in clinical diagnosis and treatment of severe liver trauma.Methods:86 cases of severe liver trauma of the irregularity admitted in hospital who underwent hepatic surgery treatment were recruited and analysis the clinical therapeutic effect was analyzed.Results:the patients with average time(86.3±13.7)min.Among them,the first hepatic door to block the average time(17.6±4.1)min.After surgery,38 cases were cured,2 cases died;Death cases included DIC 1 case after operation,and 1 case of postoperative craniocerebral injury cerebral hernia.1 case reported combined fistula and was cured after conservative treatment,and complication rate of 1.16%.Conclusion:irregular liver resection surgery operation is convenient and effective among patients with severe liver trauma and the operation has clinical popularization and application value.

关 键 词：严重肝外伤 不规则性肝切除 疗效 并发症 手术时间 

分 类 号：R657.3[医药卫生—外科学]