摘要
目的探讨严重肝外伤的诊断和治疗.方法回顾分析1990年1月～2004年12月收治的严重肝损伤120例的临床资料.结果该组120例均为外伤所致,按Moore氏分级法:Ⅲ度95例,Ⅳ度20例,Ⅴ度5例.保守治疗1例治愈,手术治疗119例,共治愈104例(占86.67%),死亡16例(占13.33%).死亡原因:死于失血性休克5例,死于MOF11例.结论强调早期诊断,快速循环复苏,合理选择手术方式,及时治疗合并症,预防并发症.
[Objective] To investigate the diagnosis and surgical treatment for severe liver injury. [Methods] Data on the 120 cases with severe liver injury from January 1990 to December 2004 were retrospective summarized. [Results] Evaluated by moore score, the injury severity of all 120 cases was divided into grace Ⅲ (n =95), grade Ⅳ (n =20) and grade Ⅴ(n =5). Of all 120 patients, 1 case was cured successfully by conservative treatment and other 119 were treated surgically. Of 119 patients received surgery, 104 cases was cured, 5 died because of hemorrhagic shock while 11 died for multiple organ failure (MOF). [Conclusion] Correct diagnosis and surgical procedure in time, effective circulatory resuscitation, treatment of concomitant trauma and prevention of complications are crucial for a better curative effect.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2005年第11期1686-1687,1690,共3页
China Journal of Modern Medicine
关键词
肝损伤
诊断
肝损伤
治疗
liver injury
diagnosis
treatment
