209例肝脏损伤的流行病学特征及临床分析

Epidemiology and clinical analysis of 209 cases of liver injury

目的 总结创伤性肝破裂的流行病学特征并探讨其临床特点及救治效果。方法 总结分析我科 1 988～ 1 999年收治 2 0 9例肝破裂病例的临床资料。本组Ⅲ级以上严重肝脏损伤 1 0 8例 (51 .7% )。手术治疗 1 86 ,保守治疗 2 3例。结果 手术治疗组 1 86例 ,治愈 1 69例 ,1 8例发生并发症 ,其中死亡 1 7例。保守治疗组 2 3例中死亡 1例。结论 严重的伤情和治疗的延误是导致本组肝外伤死亡的两大主要因素。外科手术仍是治疗创伤性肝破裂的主要措施 ;

Objective To investigate the clinical characteristics and therapeutic efficacy in liver injury.?Methods The clinical materials of 209 cases of liver trauma hospitalized in our hospital from1988 to 1999 were analysed.There were 186 cases treated operatively,and 23 cases were given conservative treatment.?Results In the operative group,169 cases were cured,and various complications occurred in 18 cases with 17 cases died. In the conservative group,various complications occurred in 22 cases with 1 case died.?Conclusion Severe injury and delayed treatment were two important factors resulting in death.Surgical intervention is still the principal measure of treatment for traumatic hepatorrhexis.Cases treated by conservation should be carefully selected according to their own clinical state.