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非手术治疗儿童外伤性肝损伤21例

Non-surgical treatment for 21 children with traumatic hepatic injury

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【作者】 吕凯声

【Author】 L Kai-sheng(Department of Pediatric Surgery,the First Affiliated Hospital of Xinxiang Medical College,Weihui 453100,China)

【机构】 新乡医学院第一附属医院小儿外科 河南卫辉453100

【摘要】 目的探讨儿童外伤性肝损伤的最佳治疗方案。方法回顾性分析21例外伤性肝损伤病例的治疗方法。B超或CT确定为肝破裂Ⅰ~Ⅱ级的行非手术治疗。结果本组15例采用非手术治疗,成功14例,中途改手术治疗1例,非手术治疗成功率93.3%。结论对Ⅰ~Ⅱ级小儿肝损伤,非手术治疗应作为首选治疗方法。

【Abstract】 Objective To explore the best scheme of treating traumatic hepatic injury in children.Methods Treatment of 21 children with traumatic hepatic injury was analyzed retrospectively.Patients with hepatorrhexis determined by B ultrasound technique and CT as grade Ⅰ~Ⅱ were performed with non-surgical treatment.Results Among all patients,15 patients accepted non-surgical treatment,14 cases were successful,treatment of one case was changed into surgery,successful rate of non-surgical treatment was 93.3%.Conclusion Non-surgical treatment should be regarded as the best choice to treat hepatic injury with grade Ⅰ~Ⅱ in children.

【关键词】 儿童肝损伤非手术治疗
【Key words】 childrenhepatic injurynon-surgical treatment
  • 【文献出处】 新乡医学院学报 ,Journal of Xinxiang Medical College , 编辑部邮箱 ,2005年05期
  • 【分类号】R726.5
  • 【下载频次】17
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