摘要
目的探讨创伤性肝破裂的诊治策略。方法对2004年6月至2010年12月收治的创伤性肝破裂患者的临床资料进行回顾性分析。结果26例中治愈23例，其中并发胆漏2例，腹腔感染1例，切口感染4例；死亡3例，其中2例因失血量大死于术中，另1例因血源不足，凝血功能障碍于术后6h死亡。结论充足血源、术中依据伤情选择合理术式、快速有效止血是救治肝破裂的关键，充分通畅引流是减少并发症的有效方法。
Objective To investigate the diagnosis and treatment of traumatic liver rupture. Methods Patients with traumatic liver rupture were retrospectively analyzed between June 2004 and December 2010 in our hospital. Results Twenty - three of 26 cases were cured, including 2 cases with bile leakage, 1 case with abdominal infection and 4 cases with wound infection. Three of 26 cases died, in which 2 patients died of much blood loss in surgery, and 1 patient died in postoperative 6 hours due to lack of blood and coagulopathy. Conclusions Sufficient blood, reasonable surgical type, rapid and effective hemostasis is the key to treat liver rupture. Unobstructed drainage is an effective way to reduce complications.
出处
《中国实用医刊》
2011年第24期11-12,共2页
Chinese Journal of Practical Medicine
关键词
肝破裂
诊断
治疗
Liver rupture
Diagnosis
Treatment
