腹部外伤致肝脏破裂的临床诊治体会

目的探讨腹部外伤所致的肝脏破裂的临床诊断和治疗方法。方法回顾性分析我院自2006年1月～2009年12月收治的44例外伤性肝破裂患者的临床资料。结果本组44例患者成功救治42例,2例因失血过多救治无效死亡,死亡率为4.5%。结论外伤致肝脏破裂是临床上常见的急重症之一,根据外伤史、临床表现及影像学检查可以及时确诊,对于严重的肝脏破裂需及时进行手术治疗,减少出血、及时缝补破损是治疗成功的关键。

Objective To investigate the rupture of the liver caused by abdominal trauma clinical diagnosis and treatment. Methods A retrospective analysis of our hospital from January 2006~December 2009 admitted 44 cases of traumatic liver rupture of clinical data. Results Successful treatment of 84patients, 42patients, 2patients died of excessive blood loss treatment, mortality rate was 4.5%. Conclusion The trauma caused by liver rupture is a common one of acute and severe, according to history of trauma, clinical manifestations and imaging can be confirmed in time for the serious liver rupture of the need for timely surgical intervention to reduce bleeding and successful treatment in time to mend broken key.