摘要
目的分析肝脏外伤的特点及其诊治方法。方法对于1996年1月-2006年12月，本院收治创伤性肝裂52例进行回顾性分析。其中Ⅲ级上的严重肝破裂37例。手术方式包括单纯修补、清创性肝切除、肝周填塞止血：非手术组1例。结果手术组：治愈49例。术后死亡2例：非手术组1例治愈。结论：Ⅰ级单纯性外伤性肝破裂可保守治疗；手术是治疗创伤性肝破裂的主要措施。确切止血，仔细结扎胆管，充分通畅的引流及术后抗生素和支持治疗是防止并发症的关键。
Objective To investigate the feature of hepatic trauma and it＇s diagnosis and therapeutic methods. Methods From January 1996 to December 2006,52 cases with traumatic rupture of liver were analyzed retrospectively. Among them, the severe hepatic rupture was more than grade Ⅲ in 37 cases.Operative treatment was 57 cases,including simple repair,debridement and hepatectomy, perihepatic hemostasis with packs. Conservative treatment was in 1 case. Results Operative of group ： 49 cases were cured .2 cases died after operation . Conservative group： 1 eases was cured .conclusion conservative treatment can use in the grade Ⅰ simple traumatic rupture of liver.operative treatment is an important measure to traumatic rupture of liver .precise hemostasis,meticulous ligation of biliary duct,enough unobstructed drainage,postoperative use of antibiotic and supporting treatment are keys to prevent the compications.
出处
《中外医疗》
2007年第20期49-50,共2页
China & Foreign Medical Treatment
关键词
肝破裂
手术
rupture of liver operation
