【摘要】 目的探讨外伤性肝脾破裂的临床特点与急诊治疗方法与效果。方法回顾性分析笔者所在医院自2007年11月～2011年2月经手术治疗和病检证实为肝脾破裂患者40例的临床资料。结果经过治疗后,40例患者显效15例,有效15例,无效10例,其中死亡4例,死亡率为10.0%。共出现20例并发症,发生率为50.0%,其中膈下积液感染2例,胸腔积液2例,腹水10例,出血3例,切口感染3例。结论肝脾破裂一旦明确诊断需积极治疗,快速输血扩容支持治疗下,若无手术禁忌应尽量争取手术治疗。更多还原

【Abstract】 Objective To investigate the clinical features of liver and spleen rupture and emergency treatment and results. Methods A retrospective analysis of the author’s hospital since November 2007 to 2011 period,and pathologic examination confirmed the surgical treatment of ruptured liver and spleen of 40 patients with clinical data. Results After treatment,40 patients were cured in 15 cases,effective in 15 cases,10 cases,including 4 deaths,mortality rate was10.0%.There were 20 cases of complications,the rate was 50.0%,which subphrenic fluid infection in 2 case,pleural effusion in 2 case,ascites in 10 cases,bleeding in 3 cases,wound infection in 3 cases. Conclusions Once the diagnosis of liver and spleen rupture need aggressive treatment,support rapid expansion of blood transfusion therapy,the absence of surgical contraindications should strive for surgery.更多还原