损伤控制性手术在外伤性肝破裂75例中的应用

Damage control operation in 75 cases of traumatic liver rupture in the application

目的:探讨损伤控制性手术对外伤性肝破裂患者的影响。方法:回顾性分析实行损伤控制性手术处理外伤性肝破裂患者的临床资料。结果:①根据肝破裂的程度和部位不同选择不同术式,治愈率为86.5%,病死率为13.5%;②术后并发肝脓肿,膈下及肝创面感染等并发症,加强抗感染治疗,所有患者治愈。结论:损伤控制性手术首先控制出血,是治疗肝破裂重要方法,成为降低肝破裂死亡率的关键。

Objective To study the damage control operation for traumatic rupture of the liver in patients affected by.Methods A retrospective analysis in surgical practice of damage control operation treatment of traumatic rupture of the liver in patients with clinical data.Results @According to the rupture of the liver in the extent and site of different choices of different operation,the cure rate was 86.5%,the mortality rate was 13.5%;@Complicated with postoperative liver abscess,subphrenic and liver wound complications such as infection,strengthen anti infection treatment,all patients were cured.Conclusion Damage control operation first bleeding control,is the important method of treatment of ruptured liver liver rupture,become lower mortality rate.