严重肝脏损伤38例治疗体会

严重肝脏损伤28例治疗体会

目的:探讨严重肝损伤的有效治疗方法。方法:回顾性分析1990～2007年38例严重肝损伤患者的外科治疗方法。其中,行经肝动脉结扎4例;切除性扩创,带蒂大网膜填塞9例;清创褥式缝合25例。结果:术后治愈34例(89.5%),死亡4例(10.5%)。结论:严重肝损伤应迅速诊断,及时手术,手术方式应根据伤者具体情况作出正确选择。

Objective： To study the clinical treatment of severe hepatic injull. Methods ： The clinical data of 38 cases of hepatic inju- ries subject to surgical treatment were retrospectively analyzed from Janualy 1990 to December 2007 in our hospital. Among 38 cases of hepatic injures, 4 cases received hepatic artery ligation, 9 cases underwent packing suture of pedicle greater omentum after debridement hepateetomy being performed. The methods of debridement hepatectomy and interrupted mattress suture were employed in 25 cases. Results： 34 cases cured（89.5% ） and 4 cases died（ 10.5% ） after operation. Conclusion： The key to severe hepatic injury cure rate lies in early diagnosis rapidly and operative treatment should be performed in time and the selec- tion of rational surgical procedures according to the specific conditions of hepatic injuries.