摘要
目的 探讨肝损伤的临床诊断与治疗方法。方法对28例肝损伤进行分析。结果28例患者，Ⅰ～Ⅱ级损伤24例，Ⅲ级损伤4例。非手术治疗12例，手术治疗16例。治愈27例，死亡1例。结论腹腔穿刺、B超或腹部平片对肝损伤有较好的诊断作用。对于血液动力学稳定的Ⅰ～Ⅱ级患者可试行非手术治疗。名胶海绵填充后修补＋腹腔引流术为级肝损伤的最理想方案，选择性肝动脉结扎术及不规则性肝部分切除术可用于Ⅲ～Ⅳ级肝损伤患者。
Objective To discuss how to diagnose hepatic iniuries and determine the way of therapy. Methods Clinical date from 28eases patients with hepatic trauma were analyzed retrospectively. Results Among 28cases,grade Ⅰ to Ⅱ were 24 eases ,grade Ⅲ to Ⅳ 3 cases. Twelve eases were treated by nonoperative method , anather sixteen eases were operated. Out of all twenty-seven eases cured and one died. Conclusions Abdominoeentesis ,B mode uotrasound or X-ray has a good drajnostie effect on liver damage. Noneperatrve treatment could be used in hemodvnamie steady patients. Suturation after glutin sponge tamponade plus peritoneal cavity drainage were ideal therapie methods to grade Ⅰ to Ⅲ eases , white partial liver lobeet my and selective ligation of hepatic artery could be chosen for grade Ⅲ to Ⅳ cases.
出处
《菏泽医学专科学校学报》
2006年第2期39-40,共2页
Journal of Heze Medical College
关键词
损伤
肝损伤胗断
肝损伤/治疗
Injuries
hepatic injuries/diagnosis
hepatic injuries/treatment
