严重或伴肝硬化的肝外伤临床救治总结

Experience on treatment of severe hepatic trauma and/or associated with hepato-cirrhosis of 119 cases

目的探讨严重或伴肝硬化肝外伤的救治方法和效果。方法回顾性分析2000-01—2013-01笔者所在医院救治的肝外伤119例,其中伴有肝硬化者27例。AASTⅠ级4例,Ⅱ级8例,Ⅲ级57例,Ⅳ级28例,Ⅴ级22例。结果非手术治疗7例,手术治疗112例,治愈108例,治愈率90.76%,病死11例,病死率9.24%。结论合理选择救治方案,能显著提高肝外伤救治成功率,明显降低病死率。

Objective To explore the current management strategy and effect of severe hepatic trauma and/ or associated with hepato-eirrhosis. Methods The clinical data of the 119 patients with above hepatic trauma were selected in the period from January 2000 to January 2013yr. A retrospective analysis about them was done. Among them, the special hepatic trauma patients included those with hepato-cirrhosis; others were all severe hepatic trauma. There were 4 cases of AAST grade I, 8 cases of grade II, 57 cases of grade ]II, 28 cases of grade IV, 22 cases of grade V. Results There were 8 cases treated with conservative treatment and 111 cases with surgical treatment. The cure rate was 90.76%, and the mortality rate was 9.24%. Conclusion Only the treatment regime is choosed reasonably, the cure rate of severe hepatic trauma and/or associated with hepato- cirrhosis could be improved, while the mortality rate could be lowered.