摘要
目的：观察肝破裂预后除与肝破裂本身的类型、程度有关外，更与急救措施是否及时、得力以及合并伤情况有关。方法：采用单纯引流、清创缝合或加明胶海绵、大网膜填塞后缝合、清创性不规则肝部分切除，纱布填塞选择性肝动脉结扎。结果：痊愈51例，死亡3例，1例死于早期失血性休克，另2例死于多脏器功能衰竭。结论：及时有效的复苏，做好肝实质损伤后出血的局部处理及术后并发症的处理是救治肝破裂的关键。
Objective ： To observe the prognosis of liver rupture liver rupture itself, the type of degree, but also with the first - aid measures are timely, effective, and combined injury status. Methods： Use of simple drainage, debridement and suturing or gelfoam, omentum, after tamponade suture, debridement of irregular partial hepatectomy, gauze packing, and selective hepatic artery ligation. Results ： Cured 51 cases, 3 died, 1 patient died of early hemorrhagic shock, the other 2 patients died of multiple organ failure. Conclusions： Timely and effective recovery, good deal with the bleeding after hepatic parenchymal injury and postoperative complications in treatment is the key to treatment of hepatic rupture.
关键词
肝破裂
临床诊断
治疗
liver rupture
Clinical diagnosis
treatment
