小儿肝脏损伤38例手术治疗体会

Experience of Operation Treatment of 38 Cases With Liver Injury

目的：探讨小儿肝脏损伤38例手术治疗体会。方法选取我院38例作为此次研究对象，所有患儿均被确诊为肝脏损伤，根据美国创伤外科协会制定的肝脏损伤标准化分级，将患儿的肝脏损伤分为六个等级，进行手术治疗。结果13例Ⅰ～Ⅱ型患儿，12例患儿手术后恢复良好，1例患儿由于多脏器损伤而发生死亡。结论对于确诊小儿肝脏损伤的患儿，临床医师要立刻采取手术治疗，根据患儿肝脏损伤的范围、程度、部位以及患儿全身的具体情况，选择最具针对性的治疗方式。术后，护理人员不仅要注意保护好患儿重要脏器的功能，而且术后保肝治疗对于小儿肝脏损伤患儿而言非常重要。

ObjectiveTo summarize the experience of operation treatment of 38 cases with pediatric liver injury.Methods Selected 38 cases in our hospital as the research object,al patients were diagnosed with liver injury,liver injury according to the standards of grading USA Association for the surgery of trauma,the liver injury were divided into six grades,operation treatment.Results A total of 13 cases of children with type I and II,12 cases recovered after operation,1 cases with multiple organ injury and death.Conclusion For the diagnosis of pediatric liver injury patients,clinicians should take operation therapy immediately,according to the scope,with the degree of liver injury and parts of the body and in specific circumstances, to choose the most targeted therapy. After the operation,nursing staff should not only pay attention to the protection of important organs in children with good function,and postoperative liver for pediatric liver injury in children is very important.