【摘要】 目的 :探讨外伤性肝脏损伤 (肝损伤 )的诊断及治疗方法的选择。方法 :对 5 3例肝损伤相关资料进行回顾性分析。结果 :5 3例肝损伤患者 ,Ⅰ～Ⅱ级 4 6例 ,Ⅲ～Ⅳ级 7例。非手术治疗 16例 ,手术治疗 37例。治愈 5 1例 ,病死 2例。结论 :腹腔穿刺、B超或CT检查对肝损伤有较好的诊断作用 ,对血流动力学稳定的Ⅰ～Ⅱ级肝损伤患者可试行非手术治疗。明胶海绵填塞后缝合修补 +腹腔引流为Ⅰ～Ⅲ级肝损伤的理想治疗方法 ,选择性肝动脉结扎术及不规则性肝部分切除术可选用于Ⅲ～Ⅳ级肝损伤患者。更多还原

【Abstract】 Objective:To discuss how to diagnose hepatic injuries and determine the way of therapy.Methods:Clinical data from 53 patients with hepatic trauma were analyzed retrospectively.Results:Among 53 cases,grade Ⅰto Ⅱ were 46 cases,grade Ⅲ to Ⅳ 7 cases.Sixteen cases were treated by nonoperative method,another 37 cases were operated.Out of all cases 51 were cured and 2 died.Conclusions:Abdominocentesis,B mode ultrasound or CT has a good diagnostic effect on liver damage.Nonoperative treatment could be used in hemodynamic steady patients.Suturation after glutin sponge tamponade plus peritoneal cavity drainage were ideal theraptic methods to grade Ⅰ to Ⅲ cases,while partial liver lobectomy and selective ligation of hepatic artery could be chosen for grade Ⅲ to Ⅳ cases.更多还原