外伤性肝破裂36例临床外科治疗回顾性分析

Retrospective analysis of 36 cases with traumatic hepatorrhexis treated with clinical surgical procedures

目的:探讨手术治疗外伤性肝破裂的效果。方法:2011年1月-2015年1月收治外伤性肝破裂患者36例,对患者在明确腹腔内出血后或明确肝脏破裂后立即给予急诊手术,根据肝脏破裂范围以及临床症状的不同,行对应手术治疗。结果:治愈33例,死亡3例,死亡率8.33%。结论:外伤性肝脏破裂病情变化急速,尽早采用手术治疗,控制相关并发症,可提高手术成功率。

Objective:To investigate the curative effect of surgical procedures in the treatment of traumatic hepatorrhexis.Methods: 36 cases of patients with traumatic hepatic rupture in patients were selected from January 2011 to January 2015.Theywere given immediate emergency surgery after definite or clear liver rupture after intraperitoneal hemorrhage.According todifferent liver rupture range as well as the clinical symptoms,they were given correspondence surgery.Results:33 cases cured;3cases died;the mortality rate was 8.33% .Conclusion:Traumatic hepatorrhexis had rapid changes and the surgical proceduresshould be used as soon as possible and control the related complications,which could improve the success rate of surgicalprocedures.