摘要
目的 :探讨外伤性肝破裂的治疗。方法 :回顾分析 1997年 1月～ 2 0 0 3年 1月福建省漳州医院及漳州市属部分县医院的外伤性肝破裂 10 8例的治疗。结果 :5 8例手术 ,单纯修补术 4 8例 ,部分肝切除术 10例 ,肝动脉结扎加沙布条填塞 3例。非手术治疗 5 0例。结论 :肝破裂手术时应注意尽快阻断第 1肝门以减少继续出血。自体肝血回收能最快速的得到血液 ,而且是安全的。引流应使用内套管是硬塑管的双套管。非手术治疗适用于生命征平稳或虽有轻度休克但治疗后能恢复平稳者 ,且能排除腹内其他脏器损伤。AAST分级为 3级以下 ,尤其是肝Ⅵ。
Objective: To study the treatment of hepatic trauma.Methods: Review 108 cases of treatment of hepatic trauma in my hospital and part of county hospital in zhangzhou. Results: In these cases, 58 patients treated with operation, in which 48 treated with prosthesis merely and 10 treated with segmental hepatectomy, and 3 treated with ligation of hepatoartery and packing with carbasus. 50 patients treated with non-operation.Conclusion:During the operation the first porta hepatis should be occlusion to decrease the continuous bleeding as quickly as possible. Retrieving the patients, liver blood is the fastest way to get the blood, and is safe. Di-cannula with intra-cannula consisted of hard plastic tube can be used in drainage. Patients with stable vital sign or recovering steady from slightly shock and eliminated with other trauma in abdominal cavity can be treated with non-operation management. It is also can be used in grade below Ⅲ,especially rupture in Ⅵ or Ⅶ segment.
出处
《中国临床医学》
2003年第6期871-872,共2页
Chinese Journal of Clinical Medicine
