CAJ | 학술논문

目的探讨肝损伤的最佳治疗方法。方法分析210例肝损伤患者的伤情、治疗措施、效果、死亡原因。结果Ⅳ，Ⅴ，Ⅵ级重度伤占41.9%(88/210)。手术治疗198例，其中肝部分切除39例，纱布填塞13例，清创缝合146例。2例做了腔静脉修补，4例行肝动脉结扎。死亡19例，死亡率9%(19/210)，均为重度损伤行手术治疗者，其中死于大量失血12例，占63.2%(12/19)。结论肝损伤治疗方法依据伤情而定，缩短手术前时间，减少失血量可降低死亡率。纱布填塞可作为一种挽救生命的暂时性的有效措施。
목적탐토간손상적최가치료방법。방법분석210례간손상환자적상정、치료조시、효과、사망원인。결과Ⅳ，Ⅴ，Ⅵ급중도상점41.9%(88/210)。수술치료198례，기중간부분절제39례，사포전새13례，청창봉합146례。2례주료강정맥수보，4례행간동맥결찰。사망19례，사망솔9%(19/210)，균위중도손상행수술치료자，기중사우대량실혈12례，점63.2%(12/19)。결론간손상치료방법의거상정이정，축단수술전시간，감소실혈량가강저사망솔。사포전새가작위일충만구생명적잠시성적유효조시。
Objective　To explore the ideal effective treatment of liver trauma. Methods　The injury state, treating methods, effect and death causes of 210 patients with liver trauma were retrospectively analysed. Results　Of the patients, the liver trauma was in degrees Ⅳ Ⅴ Ⅵ in 88 cases (41.9%). Among 198 cases treated with operation, 39 underwent partial hepatectomy, 13 with gauze packing, 146 with debridement and suturing. 2 receieved inferior vena cava repairing, 4 liver atrery ligation. 19 patients died of serious injury, the death rate was 9% (19/210). Of the 19 cases, 12 (63.2%) died of great amount blood loss. Conclusions　The treatment of liver trauma should depend on the degree of injury. The death rate could be reduced by shortening the preoperative time and decreasing the amount of blood loss. Gauze packing can be applied as a temporary way to save the patients life.