132例闭合性肝损伤的诊断和治疗

Diagnosis and treatment of l32 cases of hepatic trauma

目的 探讨肝损伤最佳的诊断和治疗方法。方法 回顾性总结１９８８～１９９８年１０年间本院收治的肝损伤１３２例诊断和治疗经过。其中非手术治疗３１例，手术治疗１０１例，手术方式包括单纯清创修补，填塞修补，肝切除术。结果 非手术治疗组中，２例因合并多器官损伤而死亡，手术治疗组中，５例死亡。结论 非手术治疗适用于轻度单纯 Ⅰ－Ⅱ级肝损伤，应根据伤情具体情况，选择不同的手术治疗方案。

Objective To study the best way of diagnosis and therapy for hepatic trauma. Methods The clinical data of 132 patients with liver trauma in last ten years were reviewed retrospectively. 101 cases received sur- gery including simple debridement repair, filling repair and hepatectomy. 31 cases were treated by non - operative management. Results In the non - operation group, 2 cases died because of concomitant with multiple - organ in- jury. In the operation group,5 cases died. Conclusion Non - operative treatment is applicable to simple liver inju- ry with degree Ⅰ - Ⅱ. In according to specific conditions,different operation procedures should be adopted.