摘要
作者在82例肝损伤中选择单纯肝损伤77例(93.9%)行非手术疗法,并获得止血满意、顾利纠正休克,并发症显著减少的疗效。依据外伤史、腹腔穿刺内出血,B超扫描、内窥镜、x线气腹造影和GPT等确诊并判断损伤程度。Ⅰ°、Ⅱ°肝损伤适宜行非手术疗法;行快速扩容和回收腹腔积血自体回输、胃肠减压并灌服益气活血中药煎剂等疗法。因合并严重多发伤,于伤后3~4天并发呼吸衰竭、DIC、ARDS和急性肺水肿共死亡3例(3.9%),治愈74例(96.1%)。
Abstract In this study,77 of 82 hepatic injury cases wereselected for conservative therapy. The hepatic injuriesin all these 77 cases were originally graded as type ⅠorType Ⅱ by reviewing the history of trauma,abdominalparacentesis, B-mode ultrasonograhy,peritpneoscopy,X- ray pneumoperitoneography and serum GPT mea-surement.Patients were all resuscitated bv fast volumeexpansion,blood transfusion recovered from intraab-dominal bleeding,nasogastric tube decompressionadded by chinese herbs,Three patients died of com-pound internal organ injuries,respiratory failure andDIC,the remaining 74(96.1%)were cured.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1994年第8期477-479,共3页
Chinese Journal of Surgery