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27例高龄创伤性肝破裂患者的诊治分析 被引量:2

Diagnosis Analysis to 27 Cases of Senile Traumatic Hepatic Rupture
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摘要 [目的]探讨老年人创伤性肝破裂的诊断与治疗方法,为临床提供方法。[方法]回顾性分析浙江省湖州市中心医院2001年5月至2011年5月收治的27例老年创伤性肝破裂患者的病例特点、诊断方法、治疗手段等临床资料,进行总结归纳。[结果]非手术治疗组12例中,11例治愈,1例患者出现心衰后死亡;15例手术患者治愈10例,术中死亡2例,术后2例死于心肺功能衰竭后的多器官功能衰竭,1例因严重颅脑损伤死亡。术后1例患者出现胆瘘并继发肝周脓肿和肺部感染,单发肝周脓肿1例,单发肺部感染1例,应激性溃疡出血1例。住院时间18~45d,平均26d。[结论]老年人肝破裂病情凶险复杂,处理困难,应尽量早诊断早治疗,根据病情选择适当的治疗方案,同时注意合并伤的处理以及既往疾病的变化。 [Objective] To observe the diagnosis and treatment of senile traumatic hepatic rupture.[Methods] Trace back and analyse the features,diagnosis,therapy and other clinical data of 27 such cases,then make summary.[Results] In non-operation treatment group 12 cases,11 were cured,1 dead with heart failure;in 15 cases of operation,10 cured,2 dead in operation,2 dead with multi-organ failure,1 died with severe craniocerebral injury;1 had gallbladder fistula,secondary onset of anal abscess and lung infection;1 had only anal abscess,1 had only lung infection;1 had stress ulcer.The in-hospital period was 26d in average.[Conclusion] Senile hepatic rupture is dangerous and complex,hard to deal with,shall be diagnosed and treated as early as possible,meanwhile pay attention to proper therapy,complications and prior diseases.
机构地区 湖州市中心医院
出处 《浙江中医药大学学报》 CAS 2012年第2期150-152,共3页 Journal of Zhejiang Chinese Medical University
关键词 肝破裂 创伤性 老年人 诊断 治疗 hepatic rupture traumatic senile diagnosis treatment
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