| 摘要: |
| ［摘要］ 目的 探讨损伤性肝破裂的手术治疗方法。方法 回顾性分析1994-01～2008-12收治并采用手术治疗的外伤性肝破裂75例的临床资料。结果 采用单纯缝合40例，绷带填塞或部分缝合加绷带填塞33例，清创性肝切除2例。死亡4例，病死率5.3%，存活病例无严重并发症发生。结论 对于严重肝破裂，绷带填塞可作为损伤控制性手术的一项特殊手术方法，适合在基层医院应用。 |
| 关键词: 肝破裂，损伤 绷带填塞 手术 损伤控制性手术 |
| DOI：10.3969/j.issn.1674-3806.2011.01.32 |
| 分类号:R 641 |
| 基金项目: |
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| Diagnosis and treatment of traumatic liver rupture:experience of 75 cases |
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YANG Xi-lun
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Tucheng Mine Hospital,Panjiang Coal-electricity(Group) Company,Guizhou 553529,China
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| Abstract: |
| ［Abstract］ Objective To investigate the surgical treatment method for traumatic liver rupture.Methods The clinical data of 75 patients with traumatic liver rupture treated by surgical treatment in our hospital from January 1994 to December 2008 were retrospectively analyzed.Results Of 75 patients, 40 patients were treated by simple suture;33 patients were treated by bandage packing or partial suture plus bandage packing；2 patients were treated by debridement and hepatectomy. Four patients died,the mortality rate was 5.3%.No severe complication was found in the survived patients.Conclusion For severe liver rupture,bandage packing can be used as a special surgical treatment method in damage control surgery, and is suitable for the application in the primary hospital. |
| Key words: Liver rupture, trauma Bandage packing Surgery Damage control surgery |
