64例肝脏损伤的临床分析

The clinical analysis of 64 cases with hepatic injury

目的 探讨肝脏损伤有效的手术治疗方法。方法 对手术治疗的64例肝损伤的病因、伤情分级、手术方法、预后、住院时间进行统计和分析。结果 64例肝损伤中钝器伤45例,占70.13％,锐器伤19例,占29.69％。Ⅰ～Ⅱ度损伤26例占40.62％,Ⅲ～Ⅳ度损伤38例,占59.38％。64例患者中死亡2例,均为Ⅳ度损伤,占3.13％。平均住院日为15.42d。结论 正确的手术方法,积极稳妥地处理合并伤是降低病死率、缩短住院时间的关键。

Objective To study effective operative manner in treating hepatic injury. Methods 64 cases of hepatic injury were analysised on the injured causes, injured grades, operative manner , prognosis and hospital-ization time. Results Among 64 cases, blunt injuries were 45 cases (70. 31% ), sharp injuries were 19 cases (39. 69% ). The injured grades Ⅰ- Ⅱ were 27 cases (40. 88% ), Ⅲ- Ⅳwere 38 cases (59. 22% ). 2 cases died, their injured degree were grade Ⅳ, the mortality is 3. 13% . The average days in hospital was 15. 42. Conclusion The correct operative means and the active management of the other organ s combined injuries were the key to reduce the mortality and shorten the time of hospitalization.