目的 探讨严重肝损伤的有效治疗方法。
方法 回顾性分析我院1996~2002年期间43例严重肝损伤患者的外科治疗方法。
结果 术后治愈32例(74.4%),死亡11例(25.6%),其中10例死于失血性休克、多脏器功能衰竭,1例死于术后急性大出血、心跳骤停,术后9例发生并发症。
结论 外伤性肝损伤应及时手术止血,同时对严重的合并伤进行处置,手术方式应根据伤者具体情况作出正确选择。
Citation:
刘国辉,李有柱,杜晓宏,吕文天. Treatment for Severe Hepatic Injury Report of 43 Cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(5): 408-408下转419. doi:
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- 1. Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ injury scaling: spleen and liver (1994 revision) [J]. J Trauma, 1995; 38(3)∶323.
- 2. Pachter HL, Feliciano DV. Complex hepatic injuries [J]. Surg Clin North Am, 1996; 76(4)∶763.
- 3. Strong RW. The management of blunt liver injuries [J]. Aust N Z J Surg, 1999; 69(8)∶609.
- 4. 陈保华, 高 毅, 龚加庆. 86例肝脏损伤的诊治 [J]. 中华创伤杂志, 2001; 17(10)∶623.
- 5. NastKolb D, Trupka A, Ruchholtz S, et al. Abdominal trauma [J]. Unfallchirurg, 1998; 101(2)∶82.