重症外伤性肝破裂46例诊治体会

Experience of diagnosis and treatment for 46 cases of serious traumatic liver rupture

目的：探讨重症外伤性肝破裂的诊断及治疗方法。方法：对46例Ⅲ~Ⅵ重症肝破裂患者的临床资料进行回顾性分析。结果：46例均采用手术治疗,治愈38例,治愈率为83%,死亡8例,死亡率为17%。结论：重症外伤性肝破裂休克发生率高,及时诊断尽早手术治疗,可提高抢救成功率,减少死亡率。

Objective To research the methods of the diagnosis and treatment for serious traumatic liver rupture.Method The clinical data of 46 Ⅲ～Ⅵ cases of the serious traumatic liver rupture was retrospectively analyzed.Results The 46 patients were treated by surgery,38 of whom were cured,while 8 among them died.The cured rate was up to 83% and the mortality was only 17%.Conclusion The shock following serious traumatic liver rupture has a high incidence,so earlier diagnosis and timely surgical operation can improve the rate of successful rescue and reduce mortality.