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外伤性肝破裂的急救 被引量:1

The Emergency of Traumatic Hepatic Rupture
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摘要 目的:总结外伤性肝破裂早期诊治经验,提高临床诊治水平。方法:回顾性分析本院收治的42例外伤性肝破裂病例的临床资料。结果:1例术前死亡,手术治疗死亡6例,非手术治疗4例成功;死亡率16.7%。结论:B超和腹腔穿刺对外伤性肝破裂的早期诊断有重要意义,根据病情制定治疗方案,选择适宜术式,严格掌握非手术治疗的适应症和积极处理合并伤可提高治愈率。 Objective:To sum up the experiences in early diagnosis and therapy of traumatic hepatic rupture and to improve the level of clinical nutrition and treatment. Methods:The clinical data of 42 patients of traumatic hepatic rupture recently were analyzed retrospectively. Results: 1 case was dead before operation.6 cases of received operation were dead after operation. 4 cases were free of operation. Death rate was 16.7%. Conclusion:h is important to early diagnosis of traumatic hepatic rupture for B ultrasonic and abdominal cavity puncture. Work out therapeutic schedule and select fit operation on the basis of state of an illness. Master indication of free of operation strictly. Handle associated injury positively.
作者 方卫刚
出处 《岭南急诊医学杂志》 2007年第2期107-108,共2页 Lingnan Journal of Emergency Medicine
关键词 肝破裂 诊断 治疗 hepatic rupture diagnosis therapy
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  • 1孙余省,方军,吴广宇,朱维星,徐阿银,金凯.肝外伤98例诊治体会[J].浙江创伤外科,2004,9(4):266-267. 被引量:15
  • 2陈恩盛,庄阳辉,杜振双,汪家珠.闭合性肝损伤25例非手术治疗体会[J].中国普通外科杂志,2004,13(10):795-796. 被引量:1
  • 3黄志强.后微创外科时代的肝胆胰外科[J].肝胆外科杂志,2004,12(6):401-402. 被引量:4
  • 4郭盖章,陈孝平,戴植本.2588例肝损伤的外科处理[J].腹部外科,1990,3(2):93-94. 被引量:14
  • 5张晓华 吕新生 肝外伤.肝脏门静脉高压症外科[M].长沙:湖南科学技术出版社,1999.308.
  • 6Moore EE, Cogbill TH, Jurkovich GJ, et al, Organ injury sending: spleen and liver (1994 revision), J Trauma, 1995, 38:323 -324,.
  • 7Garrison JR, Richardson JD, Hilakos AS, et al, Predicting the need to pack early for severe intra - abdominal hemorrhage. J Trauma,1996, 40:923-927.
  • 8Chavalliar P, paten EP, Mary PY, et al. Inferior vena cava hypoplasia with intrahepatic venous continuation: sonographic, angiographic and MR features including MR angiography. Clin Imaging, 1999, 23:99 - 102.
  • 9吴在德 主编.外科学:第5版[M].北京:人民卫生出版社,2001.649.
  • 10Kram HB,Beubun BI,Fleming AW,et al.Use of fibrin glue in hepatic trauma[J].J Trauma,1998,28(10):1195-1021.

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