肝外伤40例治疗分析

目的分析肝外伤的诊断和治疗。方法对2008年1月～2010年12月收治的40例肝外伤患者的临床资料进行回顾性总结。结果 40例患者中3例行非手术治疗。其余均行剖腹探查术治疗。结论肝外伤的诊断应在详问病史、仔细查体基础上结合B超等辅助检查手段来确定。对于肝包膜下血肿等轻度肝外伤可选用非手术治疗,而中、重度损伤者,应在充分复苏基础上,选择适当术式治疗。

Objective To analyze the diagnosis and treatment of the liver trauma.Methods 40 cases of liver injury from 2008 to 2010 were retrospectively reviewed.Results 3 patients were successfully treated by conservative therapy,while 37 cases accepted operative therapy.Conclusion The diagnosis of liver injury should be based on the detail medical history and careful physical examination combined with clinical manifestations and accessory examinations.For the mild liver injury like the liver capsule hematoma,we can choose non-surgical treatment,while moderate and severe injury shall be in full recovery basis and cured with the appropriate surgical treatment.