期刊文献+

闭合性腹部损伤肝破裂非手术治疗效果 被引量:2

Efficacy of non-surgical treatment on liver rupture in blunt abdominal injury
原文传递
导出
摘要 目的:观察非手术方案应用于闭合性腹部损伤肝破裂症治疗的效果。方法对泽州县人民医我院收治的60例肝破裂症患者开展研究,所有患者的肝破裂均由于腹部发生闭合性损伤而造成。其中,20例为非手术治疗组,40例为手术治疗组,回顾性分析两组患者的资料,比较治疗效果。结果非手术组痊愈率为100.00%(20/20),手术组为92.50%(37/40),两组差异未见统计学意义(P>0.05)。非手术组0例死亡;1例出现并发症,发生率为5.00%。手术组3例死亡,病死率为7.50%;10例出现并发症,发生率为25.00%。结论医师为腹部闭合性损伤所致肝破裂的患者施治时,为病情较为稳定的患者行非手术疗法,为病情复杂且情况凶险的患者行手术治疗,可以在提升疗效的基础上,降低对患者的损伤,促进患者康复。 Objective To observe the effect of non-surgical treatment on liver rupture in blunt abdominal injury.Methods Sixty patients with liver rupture caused by blunt abdominal in our hospital were selected, twenty cases in non-surgical treatment group and forty in surgical treatment group, the clinical data of the two groups were retrospectively analyzed, the therapeutic effects were compared.Re-sults The cure rate of non-surgical treatment group was 100.00%( 20/20 ) , and that of surgical treat-ment group was 92.50%(37/40), there was no significant difference(P>0.05).Zero patients died in non-surgical treatment group;1 case had complications, the rate was 5.00%.Three patients died in sur-gical treatment group, the mortality rate was 7.50%;10 cases had complications, and the incidence was 25.00%.Conclusions When the doctor treated for liver rupture caused by blunt abdominal injury, as the condition is more stable, patients with non-surgical therapy for the disease is complex and dangerous situation underwent surgical treatment can improve efficacy and reduce the trauma to the patient and pro-mote the recovery of patients.
出处 《中国实用医刊》 2015年第21期33-34,共2页 Chinese Journal of Practical Medicine
关键词 闭合性腹部损伤 肝破裂 非手术治疗 效果 Blunt abdominal injury Liver rupture Non-surgical treatment Effect
  • 相关文献

参考文献6

二级参考文献20

  • 1汪建初,浦涧,张英,韦忠恒.腹部闭合性损伤的诊断及非手术治疗[J].创伤外科杂志,2006,8(2):180-182. 被引量:7
  • 2朱泽卫.外伤性肝破裂合并肝后下腔静脉撕裂36例诊治体会[J].中华消化外科杂志,2007,6(2):136-137. 被引量:11
  • 3李鳌.现代创伤学[M].北京:人民卫生出版社,1996.791-795.
  • 4Felieiano DV, Paehter HL. Hepatic trauma revisited. Curr Probl Surg, 1989,26 (7) :453 - 524.
  • 5Karen J B,Christine M D,Chfistine J O,et al.Trend in the manage-meat of hepatic injttry[J].Aln J Surg,1997,174:674.
  • 6Haw kins ML,Wynn JJ,Schmacht DC,et al.Nonoperative manage-ment of Liver and/or spjenic injuries:effect on resident surgical experience[J].Am Surg,1997,64(6):552.
  • 7Pacher H L,David V F.Complex hepatic injuries[J].SurgiCal Clinics of North America, 1996,76:766.
  • 8Pachter HL, Spencer FC, Hofstetter SR, et al. Siginifiacant trends in the treatment of hepatic traum a experience with 411 injuries[ J]. Ann Sury,1992,215 (5) :492-500.
  • 9Li Linli, Zhang generation field, Raymond Lam, et al. Non opera- tion treatment of tramnatic hepatic rupture factors analysis [ J ]. Chinese medicine science,2011,27 (01) : 465466.
  • 10Guo Yanhua, Shao Huarong, Li Haifeng. The serious traumatic liver rupture in 64 cases of [ J ]. operation processing mode choice of the practice of clinical medicine,2012,22 (05) : 671 - 672.

共引文献7

同被引文献7

引证文献2

二级引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部