中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2012年
1期
75-77
,共3页
曲明%刘延军%王营%尹惠生%杜英东%张成钧
麯明%劉延軍%王營%尹惠生%杜英東%張成鈞
곡명%류연군%왕영%윤혜생%두영동%장성균
肝外伤%血管损伤
肝外傷%血管損傷
간외상%혈관손상
Hepatic trauma%Vascular injury
目的 探讨肝外伤近肝大血管损伤的手术方式和治疗效果.方法 回顾性分析1997年1月至2010年5月我院手术治疗的肝外伤近肝大血管损伤35例患者的临床资料.结果 35例患者中治愈32例(91.43％),死亡3例(8.57％).术后并发肺部感染2例,胆瘘1例,多器官功能衰竭1例,切口感染1例,并发症发生率为14.29％ (5/35).结论 肝外伤近肝大血管损伤需紧急手术,并注意有效复苏,术中操作仔细、游离彻底、暴露充分是成功修复的关键.
目的 探討肝外傷近肝大血管損傷的手術方式和治療效果.方法 迴顧性分析1997年1月至2010年5月我院手術治療的肝外傷近肝大血管損傷35例患者的臨床資料.結果 35例患者中治愈32例(91.43％),死亡3例(8.57％).術後併髮肺部感染2例,膽瘺1例,多器官功能衰竭1例,切口感染1例,併髮癥髮生率為14.29％ (5/35).結論 肝外傷近肝大血管損傷需緊急手術,併註意有效複囌,術中操作仔細、遊離徹底、暴露充分是成功脩複的關鍵.
목적 탐토간외상근간대혈관손상적수술방식화치료효과.방법 회고성분석1997년1월지2010년5월아원수술치료적간외상근간대혈관손상35례환자적림상자료.결과 35례환자중치유32례(91.43％),사망3례(8.57％).술후병발폐부감염2례,담루1례,다기관공능쇠갈1례,절구감염1례,병발증발생솔위14.29％ (5/35).결론 간외상근간대혈관손상수긴급수술,병주의유효복소,술중조작자세、유리철저、폭로충분시성공수복적관건.
Objective To explore the surgical approach and therapeutic efficacy of injury of liver and vascular approaching to liver.Methods The clinical data from January 1997 to May 2010 of 35 patients with injury of liver and vascular approaching to liver were retrospectively analyzed.Results Among 35 cases,32cases were cured by surgery ( cure rate 91.43％ ) and 3 cases died ( mortality rate 8.57％ ).Postoperative complications occurred in 5 patients ( complication rate 14.29％ ).There were 2 cases of pulmonary infection,1case of biliary fistula,1 case of multiple organ failure and 1 case of incision infection.Conclusion Urgent surgery need to be performed for injury of liver and vascular approaching to liver and effective recovery was important.In the operation,careful handling,complete dissociation and sufficient exposure were the key to successful repair.
