创伤性肝损伤患者的临床分析、诊断与治疗体会

Clinical Analysis Diagnosis and Treatment of Traumatic Liver Injury

目的研究分析创伤性肝损伤患者的临床特点、诊断与治疗情况。方法选取2014年5月至2016年5月期间来我院进行诊治的18例创伤性肝损伤患者,对全部入选患者的临床相关资料进行回顾性分析,观察了解患者的临床特点、诊断情况及治疗情况等。结果通过对全部入选患者的临床相关资料进行分析显示,18例患者中,4例患者为Ⅰ级肝损伤、3例患者为Ⅱ级肝损伤、6例患者为Ⅲ级肝损伤、3例患者为Ⅳ级肝损伤、2例患者为Ⅴ级肝损伤,其中对于Ⅰ、Ⅱ级肝损伤患者主要是实施非手术治疗,对于Ⅲ至Ⅴ级患者主要实施手术治疗;患者通过治疗后,治愈率为83.33%(15/18),死亡率为16.67%(3/18)。结论创伤性肝损伤患者在临床治疗中,应依据其具体病情实施对应的治疗,对于病情比较轻的患者可通过非手术方式进行治疗,对于病情较重的患者应给予相应的手术治疗,以将患者的救治效果提高。

Objective:To study the clinical characteristics of patients with traumatic liver injury,diagnosis and treatment.Methods:18 cases of traumatic liver injury patients during the period from May 2014 to May 2016 in our hospital,the clinical data of all patients were analyzed retrospectively,to investigate the clinical features of patients with diagnosis and treatment.Results Through the clinical data of all patients showed,18 patients,4 patients of liver injury,3 patients with grade II liver injury,6 cases of patients with grade III liver injury,3 patients with grade IV liver injury,2 cases of grade V liver injury,for I,II patients with liver injury is mainly the implementation of non operative treatment for stage III to V were the main implementation of surgical treatment;patients after the treatment,the cure rate was 83.33%(15/18),the death rate was 16.67%(3/18).Conclusion Patients with traumatic liver injury in clinical treatment,the corresponding treatment should according to the specific condition of implementation for illness lighter patients can be treated by non operative methods,for sicker patients should be given the appropriate surgical treatment,to cure effect and improve patients.