外伤性肝破裂的临床治疗分析(附112例)

Clinical therapeutic analysis for traumatic rupture of liver

目的探讨外伤性肝破裂的早期诊断以及肝损伤的临床分型与治疗原则。方法对1990年1月～2002年12月收治的112例外伤性肝破裂进行回顾性分析。以美国外科创伤学会的肝损伤分级标准进行临床分型,按非手术与手术治疗,并观察其救治效果。结果治愈97例,死亡14例,死亡率为11.5%。结论及早诊断,正确分型,选择合理治疗是肝外伤救治成功的关键。

Objective To investigate the early diagnosis ,clinical typing and principle of treatment of the liver trauma.Method From January1990to December2002 ,112cases with traumatic rupture of liver were analyzed retrospectively.According to the criteria of clinical grading to carry out the clinical typing for liver trauma by Surgical Traumatic Association of America ,the nonoperative and operative treatment were used and the rescued effect was observed.Results97cases were cured.14cases died ,the mortality was11.5%.Conclusion Early diagnosis ,correct typing and selective reasonable therapy is the key point for succeful rescue of liver trauma.