外伤性肝破裂非手术治疗效果和影响因素分析

Traumatic Rupture of Non-surgical Treatment of Liver and Influencing Factors

目的:分析外伤性肝脏破裂非手术、保守治疗的效果和其影响因素。方法:选取在我院接受非手术、保守治疗的外伤导致肝破裂的患者38例,分析患者血压、腹腔内出血量、心率、肝裂程度等因素对治疗效果的影响。结果:30例患者通过非手术治疗成功治愈,成功率达到78.9%,8例患者转为开腹手术治疗,亦成功治愈。肝外伤分级越高、腹腔内积液间隙越多的患者转手术治疗的比例越高。结论:生命体征、血流动力学稳定的外伤导致肝破裂的患者可进行非手术治疗。

Objective：To analyze the non-traumatic rupture of the liver surgery,conservative treatment effect and its influencing factors.Methods：In our hospital for non-surgical,conservative treatment in patients with traumatic rupture of the liver resulting in 38 cases,analysis of blood pressure,intra-abdominal hemorrhage,heart rate,split liver and other factors on the treatment effect.Results：30 patients were successfully treated through non-surgical treatment,the success rate of 88.2%,8 patients converted to open surgery,also successfully cured.The higher the grade of liver trauma,intra-abdominal fluid clearance in patients with the more higher the proportion of transfer surgery.Conclusion：Vital signs,hemodynamic stability in patients with traumatic rupture can lead to liver of non-surgical treatment.