肝外伤预后因素分析

The Analysis of prognostic factors for liver trauma

目的 分析肝外伤的预后因素。方法 选择1999年1月～2003年5月我院收治的63例肝外伤病例进行回顾性分析,将患者入院的10项指标和美国肝外伤分级标准以及伤后出血量和预后的关系进行分析。结果 本组治愈58例,死亡5例,需再次手术4次。手术后发生并发症11例,其中包括呼吸衰竭,切口感染,肺部感染或栓塞,肝胆漏,再出血及粘连性肠梗阻等。结论 对影响肝外伤预后的因素应当给予重视,以提高肝外伤的救治率。

Objective To analyze the prognostic factors for liver trauma. Methods From 1999. 1 to 2003. 5, the clinical data of 63 cases with liver trauma were analyzed retrospectively. Results In this group, 58 cases were cure, 5 cases died, reoperation needed was in 4 cases. Postoperative complications were in 11 cases, which included respiratory failure, incisional infection, pulmonary infection or embolism, hepatobiliary leakage, re-bleeding and adhesive intestinal obstruction etc. Conclusion Prognostic factors of liver trauma should be paid attention to improve the rescue rate.