摘要
目的总结闭合性肝外伤的非手术治疗经验。方法对2001年3月～2010年3月采用非手术治疗的60例闭合性肝外伤的临床资料进行回顾性分析。结果60例均痊愈出院。其中非手术治疗成功55例（91．6％），住院时间为9—20d。平均13．8d。余5例因在非手术治疗期间出现血液动力学不稳定或延迟性出血而中转手术治愈。结论在严格掌握适应证和密切动态观察伤情变化的条件下，非手术治疗闭合性肝外伤是安全可行的，对非手术治疗期间血液动力学不稳定或发生延迟性出血者应及时手术。
Objective To summarize the experience of nonoperative management of closed hepatic injuries . Methods The clinical data of nonoperative management for 36 cases with closed hepatic injuries from March 2005 to March 2010 was retrospectively analysed. Results Thirty six cases were all cured. Among them, 55 cases （91.6%） were cured by nonoperative management with the average hospitalized period of 13.8 （range from 9 to 20 days） , 5 cases were cured by operation after the failure of nonoperative management due to the occurrence of unstable hemodynamics of delayed hemorrhage during the period of nonoperative management. Conclusion The nonoperative management of closed hepatic injuries was safe and available when indication was strictly controlled and change of injury condition was constantly observed. The operation should be promptly performed when the patient＇s hemodynamics was unstable or delayed hemorrhage occurred during the period of nonoperative management.
关键词
闭合性肝外伤
非手术治疗
适应证
延迟性出血
closed hepatic injury nonoperative management indication delayed hemorrhage
