重度肝外伤103例诊治的回顾性分析  

Retrospective study on diagnosis and treatment of severe hepatic trauma in103cases

作　　者：汪中波 康燕飞 王锦波 卢文献 赵建国 洪刚 毛明田 周德义[2] 

机构地区：[1]371医院肝胆外科,河南新乡453000 [2]新乡医学院附属三院肝胆外科,河南新乡453000

出　　处：《实用医药杂志》2004年第5期407-409,共3页Practical Journal of Medicine & Pharmacy

摘　　要：目的探讨重度肝外伤的诊断治疗及预后。方法回顾总结分析1990-01～2003-01两家医院收治的(按Moore分级法)Ⅲ～Ⅴ级肝外伤103例临床资料。结果103例中治愈88例(85.44%),死亡15例(14.56%)。其中Ⅴ级死亡7例,Ⅳ级死亡6例,Ⅲ级死亡2例。结论争取时间及早手术及良好的术野显露,最佳的止血方法及腹腔血回输,及早纠正休克及合并伤的及时处理,合理有效的手术方式,术后ICU监护及并发症的及时防治等是提高重度肝外伤抢救成功率的重要措施。Objective To probe into diagnosis,treatment,and prognosis of severe liver trauma.Method The clinical data ofⅢ-Ⅳgrade of liver trauma in103cases(from Jan,1990,to Jan,2003)were analysed retrospectively.Results Among the103cases,88were cured(85.4%),15died(14.56%)(in them,Ⅴgrade7cases,Ⅳgrade6cases,Ⅲgrade2cases).Conclusion As early as possible performing operation and better exposuring operation-field,optimum hemostasis method and return-transfusion of peritoneal cavity blood,timely managing shock and complicated injuries,reliably and effectively taking operation -procedure,timely preventing&treating complications and carefully monitoring after operation,etc.are important measures for increasing successful emergent treatment rate of liver trauma.

关 键 词：重度肝外伤 诊断 治疗 

分 类 号：R657.1[医药卫生—外科学]