摘要
目的总结基层医院诊治肝脏外伤的经验。方法对我院自2002年1月至2014年12月收治的230例肝外伤患者的临床资料进行回顾性分析，总结诊疗经验。结果230例肝外伤患者中手术治疗124例，保守治疗106例（2例短暂保守治疗平稳后转外院继续治疗并痊愈）；痊愈204例，死亡26例；重症肝外伤共63例，病死率达25．4％。结论对肝外伤患者应尽快做出诊断和伤情评估，并及时选择合理的治疗方式。术中以尽量简单的方法尽快有效控制出血是提高肝外伤抢救成功率的关键。
Objective To investigate the clinical efficacy and summarize the experience of treating patients with hepatic injuries in a primary-care hospital. Methods The clinical data of 230 patients with hepatic injuries from January 2002 to December 2014 were retrospectively analyzed. Results 124 patients were treated with surgery and 106 patients （ including two patients who were transferred to another hospital） were managed by conservative treatment. Of 230 patients, 204 patients recovered well and 26 patients died. 63 cases of severe hepatic injuries （grades Ⅲ, Ⅳ, Ⅴ and Ⅵ）, the mortality rate reached 25.4%. Conclusions The important points to success in managing these patients are early diagnosis and adequate assessment of liver injury, proper choice of treatment and using the simplest and the most effective means in surgery to control bleeding.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2016年第8期513-517,共5页
Chinese Journal of Hepatobiliary Surgery
关键词
肝外伤
损伤控制性手术
肝周纱布填塞
Hepatic injury
Damage control surgery
Peri-hepatic packing
作者简介
通信作者：陈超波，电子信箱：bobo-chen@163．com
