肝脏外伤的诊治分析

Analysis of Diagnosis and Treatment of Liver Trauma

目的重点研究和探讨肝脏外伤患者的诊治方法及临床效果。方法利用回顾性分析的方法研究和比较对我院于2008年1月至2012年12月十年间收治的24例肝脏外伤患者的临床资料进行回顾性对照分析。将患者随机分为2组,12例采用开放手术进行治疗;12例采用非手术方法进行治疗。运用对比分析的方法,比较开放手术组患者和非手术组患者在治疗后的情况,对患者治疗前后的治愈率和病死率的情况进行比较和探讨。结果 24例肝脏外伤患者,治愈18例,治愈率为75.0%,死亡6例,病死率为25.0%。其中肝脏损伤Ⅰ-Ⅱ级总计11例,其中手术3例,非手术8例,死亡0例;Ⅲ-Ⅴ级总计11例,其中手术8例,非手术3例,死亡4例,病死率36.4%;Ⅵ级3例,手术2例,死亡2例。结论手术成功与肝损伤级别相关和选择适当的手术方法着密切的关系,肝脏损伤等级低的患者可以在有效监护下选择非手术治疗,肝脏损伤等级低的患者应该及时进行手术治疗。

Objective To focus on and discuss the method and clinical effect of treatment of patients with liver injury. Methods Using retrospective study method of analysis and comparison of treated in our hospital from 2008 January -2012 year in December ten years, 24 cases of hepatic trauma were analyzed retrospectively. The patients were randomly divided into 2 groups, 12 cases were treated by open operation; 12 cases were treated by non operation treatment method. By the method of comparative analysis, more open in the treatment after the operation group and non - operation group, compare with the discussion of patients before and after the cure rate and mortality. Result 224 cases of hepatic trauma, 18 cases were cured, the cure rate was 75%, 6 cases died, the mortality rate was 25%. The liver injury of I II total of 11 cases, including 3 cases of operation, 8 cases of non operation, 0 cases of death; III V total of 11 cases, of which 8 cases of operation, 3 cases of non operation, 4 patients died, a mortality rate of 36.4%; 3 cases of grade VI, 2 cases of operation, 2 cases of death. Conclusion Operation success and liver damage level and choose appropriate operation method closely related to liver injury, patients with low grade can choose non operation treatment in effective care, patients with liver damage level low should be timely operation treatment.