摘要
目的：分析外伤性肝破裂的治疗方法与效果。方法：按照不同方法行不同治疗方法，观察预后效果。结果：本组42例中，治愈40例，死亡2例，死亡率4．7％。1例未能及时修补即因失血过多休克术中死亡；术后1例因多脏器功能障碍、凝血功能障碍或合并有其他脏器严重损伤死亡。术后出现胆漏3例，肝下积液2例，均经腹腔引流保守治疗痊愈；出现胸腔积液行闭式引流术2例，治愈；肝下脓肿1，行切开脓肿引流术，痊愈。结论：对～Ⅱ型肝钝性损伤，根据病情可采取非手术治疗，并密切观察病情变化；Ⅲ～Ⅴ型肝损伤、开放性损伤、合并腹腔大出血或其他脏器损伤一经诊断应立即手术治疗；外伤性肝破裂的术后并发症一般来说比较多，需要进行严密的观察，防止病人的预后效果差。
Objective analysis of traumatic rupture of liver and effect of treatment. Be different according to different methods of treatment methods to observe the prognosis. Results 42 cases, 40 cases were cured, 2 died, the death rate of 4.7M. One case of failure to repair or excessive blood loss shock patients died; after one case because of multiple organ dysfunction, coagulation disorders or serious injury associated with other organ death. 3 cases of postoperative bile leak, subhepatie effusion in 2 cases were cured with conservative treatment of peritoneal drainage; there line closed drainage pleural effusion, 2 cases were cured; liver abscess, 1 case underwent open abscess drainage, recovery. Conclusion Ⅰ=Ⅱblunt hepatic injury, may be taken under the condition of non--surgical treatment, and closely observe the condition changes; Ⅲ-Ⅴ type of liver injury, open injury, abdominal bleeding or other organ injury during surgery immediately after diagnosis ; traumatic rupture of liver in general more postoperative complications, the need for close observation, to prevent the effects of poor prognosis patients.
关键词
肝破裂
外伤性
治疗
liver rupture, trauma, treatment
