摘要
目的:分析研究肝破裂的诊断及外科的各种治疗方法,以提高对肝破裂诊治水平。方法:收治外伤性肝破裂患者38例,回顾性分析临床资料,对38例肝破裂患者的诊断、治疗方法、术后并发症、死亡率进行分析,并与前期63例外伤性肝破裂病例作对比。结果:38患者中,9例非手术治疗成功,29例行手术治疗(其中1例为非手术治疗中转手术),术后5例出现并发症,死亡2例,与对照组相比,非手术病例治疗成功率显著提高、手术组并发症发生率及死亡率显著降低(P<0.05)。结论:早期及时的诊断是外伤性肝破裂处理的关键,准确评估患者的病情,选择正确的手术方式,积极处理合并伤,可降低病死率。
Objective：To summarize the diag- nosis of liver rupture and different surgical treatments in an effort to improve the diag- nosis and treatment of hepatic rupture. Methods：38 cases of patients with hepatic rupture diagnosis, therapy, postoperative complications, mortality were analyzed, and the 63 cases of traumatic liver rupture cases for comparison. Results：compared with the control group, the operation of a case suc- cessfully treated rate significantly increased, operation complication rate and mortality de- creased significantly （ P 〈 0. 05 ）. Conclu- sion：early diagnosis is the key to treatment of traumatic rupture of the liver ,an accurate assessment of the condition of the patient, can reduce the fatality rate.
关键词
肝破裂
外伤性
手术治疗
liver rupture
traumatic
surgicaltherapy
