【摘要】 目的探讨严重外伤性肝破裂的临床诊治方法。方法回顾性分析娄底市中心医院从2007年4月至2010年4月共收治的严重外伤性肝破裂患者23例临床诊断、治疗和护理资料,统计其治愈率、并发症及病死率,总结诊断和治疗及护理方法。结果 23例患者治愈20例(86.96%),死亡3例(13.04%)。共有7例患者有并发症,并发胆瘘3例,急性肾功能衰竭2例,肝脓肿1例,膈下感染1例,给予抗炎、引流进行对症治疗后治愈出院。结论加强入院患者的急救措施,根据患者的肝破裂诊断分型并采取适当的手术治疗,术后加强护理,可以使严重肝破裂患者的治愈率提高并减少术后并发症。更多还原

【Abstract】 Objective To investigate the serious injury of the clinical diagnosis and treatment of hepatic rupture.Methods A retrospective analysis of Loudi Central Hospital from April 2007 to April 2010 were treated for severe traumatic rupture of liver in patients with clinical diagnosis of 23 cases,treatment and care information,statistics,its cure rate,complications and mortality,diagnosis and summary treatment and care methods.Results 23 patients were cured in 20 cases(86.96%),3 patients died(13.04%).Total of 7 patients had complications,3 cases of biliary fistula,acute renal failure in 2 cases,1 case of liver abscess,subphrenic infection in 1 case,given anti-inflammatory and drainage were cured and discharged after symptomatic treatment.Conclusions Patients admitted to hospital emergency measures,according to the patient’s diagnostic classification of hepatic rupture and take appropriate surgical treatment,postoperative intensive care,can seriously increase the cure rate of patients with hepatic rupture and reduce postoperative complications.更多还原