严重肝外伤45例治疗体会

Experience in treatment of 45 cases of severe liver trauma

目的总结在临床中严重肝外伤的诊断和治疗经验,提升对严重肝外伤的救治水平。方法回顾性分析2003年6月至2013年6月间我院收治的45例严重肝外伤患者的诊断和治疗方法,其中Ⅲ级35例,Ⅳ级8例,V级2例。结果在临床治疗的45例患者中,治愈40例,治愈率88.9%;死亡5例,病死率11.1%,术后出现并发症18例,均临床治愈。结论尽快纠正失血性休克、有效合理的手术方式、充分引流以及积极预防、治疗术后并发症是治疗严重肝外伤的有效手段。

Objective To summarize the experience of diagnosis and treatment of severe liver trauma and to enhance the treatment level of severe liver trauma.Methods Retrospective analysis of 2003 June to 2013 June in our hospital 45 cases of severe liver trauma patients methods of diagnosis and treatment,including 35 cases of grade Ⅲ,8 cases of grade Ⅳ,2 cases of grade Ⅴ.Results In the clinical treatment of 45 cases of patients,40 cases were cured,the cure rate was 88.9％ ; 5 cases died,the mortality rate of 11.1％,18 patients had postoperative complications were clinically cured.Conclusion As soon as possible to correct hemorrhagic shock,effective and reasonable operation mode,sufficient drainage and active prevention,treatment of postoperative complications is the effective treatment for severe liver trauma means.