摘要
我院自１９８１年１月至１９９１年１月，共收治腹部外伤２０９例，其中肝外伤４２例，占２０．１％。４２例肝外伤中，死亡７例，占１６．７％。手术治疗３３例，死亡３例。非手术治疗９例，其中４例未来得及手术死于急诊室，另５例痊愈出院。为进一步提高肝外伤的救治水平，减少并发症，降低死亡率，结合４２例的救治体会，进一步探讨肝外伤围手术期的处理。我们认为：及时正确的诊断、积极采取相应的治疗方法、迅速正确的术前准备是抢救成功的关键；危重病人不失时机的手术，术中根据伤情选择恰当的手术方式，是抢救成功的重要举措。术后综合处理亦是不可忽视的重要环节。
Abstract CASES abdominal trauma, from which 42 cases (20.1%)were hepatic trauma, were admitted to our hospital from January 1981to January 1991.33 cases were operated and three dided.Nine cases were treated nonoperative and 4 patients died.The moertality rate were 16.7%.Perioperative management for hepatic trauma will be discussed in this article in accordance with our 42 cases material.It is considered that earlier correct diagnosis,rapid preoperative management and prompt operation are key point to successfully treat the patients with hepatic trauma.The operative method should be determined according to specific conditions.Postoperative management is also an important aspect to treat hepatic trauma successfully.
出处
《肝胆外科杂志》
1996年第1期29-31,共3页
Journal of Hepatobiliary Surgery
