摘要
目的探讨严重肝损伤院内救治的最佳措施。方法41例严重肝损伤患者的致伤原因、损伤程度、血压情况、合并伤、术前急救、手术方式、术后并发症及死亡率等进行回顾性分析。结果治愈34例,死亡7例,死亡率17.07%。主要死因为大失血和胸、脑及多处骨折等合并伤。结论快速有效复苏、缩短术前时间、正确选择手术方式、积极处理合并伤等,可提高救治成功率。间歇性阻断肝蒂后行肝清创止血或清创性肝切除、肝周或肝后纱布填塞加肝动脉结扎,可作为救治严重肝损伤的主要方法。
Objective To investigate the best hospital management for severe liver injury.Methods The clinical data of41patients with severe liver injury were analysed retrospectively.The data included causes and severity of injury,blood pressure,associated injuries,preoperative emergency treatment ,operative pattern,postoperative complications and mortality rate.Results34patients were cured,7died with mortality rate of17.07%.The leading cause of the death was significant blood loss and associated chest,skull or brain injury and mul-tilocal bone fracture.Conclusion Rapid and effective resuscitation,shortened preoperative time ,appropriate operative pattern and prompt management of the associated injury may achieve higher curative rate.After intermittent occlusion of the hepatic pedicle,hepatic debridement or hepatectomy ,gauze packing of around or behind liver with hepatic artery ligation can be the main methods for severe liver injury.[
出处
《浙江创伤外科》
2003年第5期281-283,共3页
Zhejiang Journal of Traumatic Surgery
关键词
重度肝损伤
救治
创伤
损伤
肝切除
止血
Trauma and injury
Liver
Hemorrhage
Hepatectomy
Hemostasis
