摘要
目的 探讨肝损伤的诊断、治疗 ,以及如何降低死亡率。方法 对我院自 1981年至2 0 0 1年收治的 10 5例肝损伤的病因、伤情、诊治经验及死亡原因进行回顾性分析。结果 手术治疗94例 ,治愈 77例 ,死亡 17例。非手术治疗 11例 ,治愈 10例 ,1例在术前准备时死亡。结论 仔细体格检查、腹腔穿刺、B型超声、CT是诊断的可靠手段。正确选择治疗方案 ,重视围手术期和合并伤的整体处理 ,是提高治愈率 。
Objective To explore the diagnosis and treatment of liver injury and methods to reduce the mortality.Methods 105 cases of liver injury from 1981 to2001 were analyzed retrospectively to evaulate the pathogenesis, injury condition, experience of diagnosis and treatment, and dead causes.Results Among the 94 cases undergoing surgical treatment, 77 were cured and 17 died; Among the 11 cases receiving conservative treatment, 10 cured and 1 died before operation.Conclusions Careful physical examination, abdominal puncture, B ultrasound and CT were the reliable methods for diagnosis and treatment. The overall management of preoperative period and combined injury were the key to improve the curative rate and reduce mortality.
出处
《腹部外科》
2002年第2期103-104,共2页
Journal of Abdominal Surgery
关键词
肝损伤
诊断
治疗
死亡率
Liver injury
Diagnosis
Treatment
