摘要
目的:探讨外伤性肝破裂的手术处理方法。方法:回顾性分析1991年1月—2011年1月收治的64例各种原因所致外伤性肝破裂患者的病例资料,其中闭合性损伤47例,开放性损伤17例。结果:64例患者中临床治愈60例(93.4%),死亡4例,其中因肝破裂累及肝门静脉、下腔静脉出血不能控制死亡2例;因并发严重脑外伤、胸外伤等死亡1例;多器官功能衰竭(M SOF)死亡1例。术后并发症:原发性大出血1例,术后胆瘘3例,膈下脓肿2例,胸腔积液2例,肺部感染2例,肝脓肿1例,经过适当治疗后均痊愈。结论:选择正确的手术方式是严重外伤性肝破裂手术治疗的关键,同时应注意合并伤的诊治,特别是胸腹联合伤的诊治。
Objective：To investigate the operation method of the severe traumatic hepatic rupture.Methods：Analyzed the data of 64 cases who suffered severe traumatic hepatic rupture from January 1991 to January 2011 retrospectively.The number of the closed injury was 47,and the open injury was 17.Results：Among the 64 cases in operation,60 were cured（93.4%） and 4 cases died.2 of hepatic rupture result in hepatoportal and postcava bleeding incontrollable,1 of brain trauma and thoracic trauma,1 of multiple organ dysfunction syndrome（MSOF）.The complication after operation,1 with primary hemorrhage,3 with biliary fistula,1 with diaphragmatic cyst,2 with pleural effusion,2 with pulmonary infection and 1 with pulmonary cyst.Conclusion：The proper operative manners is the key of the treatment of the severe traumatic hepatic rupture,and meanwhile we should pay attention to the associated injuries,especially the treatment of the thoracic-abdominal injuries.
出处
《临床医药实践》
2012年第5期342-343,共2页
Proceeding of Clinical Medicine
关键词
外伤
肝破裂
手术方式
治疗
trauma
hepatic rupture
operation method
treatment
