摘要
目的探讨提高外科治疗严重肝外伤的成功率的相应方法和措施。方法回顾性分析1985年1月～2004年10月收治的87例严重肝外伤的伤情、手术方法及效果。结果按AAST对肝脏损伤的分级,Ⅲ级外伤48例,Ⅳ级外伤25例,Ⅴ级外伤14例,腹腔内出血量600～2400mL,平均1700mL。手术治愈66例,死亡21例(失血性休克14例,复合伤、多脏器功能衰竭各5例,严重感染致ARDS2例)。结论正确而及时的诊断,减少术前时间,合理选择手术救治方法,是提高严重肝外伤治疗成功的关键。
[Objective] To investigate the relevant approaches and measures on how to increase the successful rate of the surgical treatment in dealing with major hepatic trauma. [Method] To analyse the injuries, operation approaches and outcomes of 87 major hepatic trauma patients had been operated by us from January 1985 to october 2004 retrospectively. [Result] According to the AAST Gading of Liver Injuries, gradeⅢ 48 cases, grade Ⅳ 25 cases, grade Ⅴ 14 cases, the bleeding volume in the peritoneal cavity before operation were 600～2 400 mL, average 1 700 mL, 66 cases were cured, 21 cases died （14 cases of hemorrhage shock, 5 cases of combined wound and multiple organs failure, 2 cases of ARDS caused by severe infection）. [Conclusion] Precise and timely diagnosis, reduced preoperative time, reasonable surgical approaches were the keys to the success in the treatment of major hepatic trauma.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2005年第17期2638-2641,共4页
China Journal of Modern Medicine
关键词
肝外伤
血
科手术治疗
major hepatic trauma
hemorrhage
surgical treatment
