外份性肝破裂95例诊治体会

The experience of diagnoses and treatment with 95 traumatic hepatorrhexis

目的总结外伤性肝破裂的诊治经验。方法对2002年1月-2006年12月共95例外伤性肝破裂患者进行回顾分析其诊治经过。结果大部分患者均能痊愈出院，其中术中死亡1例，术后出现并发症者21例。在39例非手术治疗患者当中，入院时第一次测得的转氨酶数值为650．02±40．00）U／L，在56例实行手术处理的患者中，入院时第一次测得的转氨酶数值为（596．89±79．79）U／L。结论外伤性肝破裂应根据患者具体情况及术者经验采取不同的治疗方法，且转氨酶升高越明显，肝脏损伤严重的可能性越大，需要手术处理的可能性越大。

Objective To summarize the experience in the diagnosis and treatment of traumatic hepatorrhexis. Methods According from 95 patients with traumatic hepatorrhexis retrospective analysis the diagnosis from January 2002 to December 2006.Results Most patients can be healing, except 1 death case during the intraoperative , and 21 complication case after the Surgery.Among the 39 non-operative therapy in patients who were measured transaminase is （250.02±40.00）U/L at the first time, and 56 cases in the treatment of patients with surgery who were measured transaminase numericahhe is （596.89± 79.79）U/L at the first time when they are in hospital.Conclusion Patients with traumatic hepatorrhexis should be according to specific circumstances and be performed from different treatment methods. The more obvious transaminase eleations, the more likelihood of severe hepatic injury, the more likelihood needs surgical treatment.