大网膜在外伤性肝破裂中应用的体会

Application of Greater Omentum in Liver Traumatic Rupture

目的观察应用大网膜手术治疗外伤性肝破裂的临床疗效。方法对用不同手术方法治疗32例肝外伤患者的临床资料进行回顾性分析,比较大网膜在外伤性肝破裂中的应用价值。结果治愈30例,治愈率90.6%,术后并发胆瘘2例,继发性出血1例。胆瘘及继发性出血经支持、对症处理后治愈。死亡2例,其中死于出血性休克1例,死于多器官功能衰竭1例。结论严重外伤性肝破裂手术处理的基本原则是有效防止出血,清除一切失活组织,处理合并伤,防止胆瘘和充分引流,可提高肝外伤患者的临床疗效。

Objective To observe the effects of the advantage of greater omentum operation in liver traumatic rupture. Methods A retrospective survey to the clinical data of 32 liver external injury with the different surgical operation. Results 30 cases had been cured, the cura five rate is 90.6%. The operation erupts the biliary fistula was 2 cases. The secondary hemorrhage was 1 cases. The biliary fistula and the secondary hemorrhage were cured through the support and the disease processing. Death were 2 cases, 1 case die in hemorrhagic shock, 1 cases die in multiple organ failure. Conclusion The basic principle of severe liver traumatic rupture operation is to prevent bleeding effectively. That clearing devitalized tissue, processing associated injury, preventing from the biliary fistula and drainage well can raise the sufferer＇s clinical curative effect.