摘要
目的总结肝脏外伤的诊断和治疗经验。方法回顾性分析1995年1月-2010年1月168例肝脏外伤病例的临床资料。结果开放手术治疗97例，非手术治疗71例，152例治愈，16例死亡，病死率10．5％；并发症45例。结论血液动力学稳定的患者可在有效监护下选择非手术治疗，血液动力学不稳定患者应及时手术止血。
Objective To summarize the experience of the diagnostic and therapeutic approach of hepatic trauma. Methods The clinical data of 168 patients with hepatic trauma admitted from January 1995 to January 2010 were retrospectively reviewed. Results All of 97 cases were treated by operative management,71 cases by nonoperative management.Complications appeared in 45 cases. Conclusion Nonoperative management is suitable for hepatic trauma with stable hemodynamics, operative management is suitable for hepatic trauma with unstable hemodynamics. The effective preventive measures to decrease mortality in patient with severe hepatic trau- ma include early remedy to hemorrhagic shock,effective hemostasis,complete abdominal drainage and prevention of postoperative complications.
出处
《中国现代医生》
2011年第35期142-143,145,共3页
China Modern Doctor
关键词
肝脏外伤
血液动力学
诊断
手术治疗
非手术治疗
Hepatic trauma
Hemodynamics
Diagnosis
Operative management
Nonoperative management
