摘要
目的:比较手术治疗与保守治疗肝脏损伤的救治效果。方法:对139例肝脏损伤的病例资料进行回顾分析。结果:本组病人共139例,其中手术103例,成功91例,死亡12例;保守治疗36例,成功34例,死亡2例。两组比较有统计学意义(P<0.05)。结论:及时准确诊断治疗是肝脏损伤治疗的关键。手术治疗组能在伤后8 h内及时进行手术者治愈率高。轻度(AAST分级III级以下)肝脏损伤患者可以经保守治疗成功治愈。
Objective： To evaluate the therapeutic efficacies of operation and nonoperation in hepatic trauma. Methods： Retrospective study of 139 cases of hepatic trauma was performed. Results： There were totally 139 patients including 103 treated by surgery and 36 by conservation. In the surgery group, there were 91 cases healed and 12 dead. In conservation group 34 cases were healed and 2 dead. There was a significant difference between the two groups（P〈0.05）. Conclusion：Diagnosis in time and correct threapy are the key point for rescure of hepatic trauma. The patients undergoing operation on within 8 hours afer injury could get higher survival rate. Some patients with mild liver injury （below the Ⅲ grade of AAST）may be treated conservatively.
出处
《实用临床医学（江西）》
CAS
2006年第6期73-74,76,共3页
Practical Clinical Medicine
