CAJ | 학술논문

目的探讨严重肝外伤术后并发症发生的原因及防治方法.方法回顾性分析2004年1月至2010年12月我院手术治疗的严重肝外伤患者76例,观察并发症类型、发生原因及治疗方法.结果 76例中7例(9.2％)出现并发症,共9例次,并发症发生率11.8％,其中术后出血1例次,胆瘘2例次,胸腔积液1例次,肝脓肿2例次,多器官功能衰竭( MODS)2例次,切口感染1例次.7例出现并发症者治愈5例,死亡2例,均死于MODS.结论严重肝外伤术中需彻底止血,有效清除坏死组织,通畅引流；术后注意保护肝功能,预防MODS,从而降低并发症发生率和病死率.
목적 탐토엄중간외상술후병발증발생적원인급방치방법.방법 회고성분석2004년1월지2010년12월아원수술치료적엄중간외상환자76례,관찰병발증류형、발생원인급치료방법.결과 76례중7례(9.2％)출현병발증,공9례차,병발증발생솔11.8％,기중술후출혈1례차,담루2례차,흉강적액1례차,간농종2례차,다기관공능쇠갈( MODS)2례차,절 구감염1례차.7례출현병발증자치유5례,사망2례,균사우MODS.결론 엄중간외상술중수철저지혈,유효청제배사조직,통창인류；술후주의보호간공능,예방MODS,종이강저병발증발생솔화병사솔.
Objective To explore the causes,prevention and treatment of postoperative complications in severe hepatic trauma.Methods Seventy-six cases of severe hepatic trauma treated with operation admitted were reviewed with regard to categories,causes and treatment of complications.Results Nine complications occurred in 7 cases with the incidence of 11.8％ (9/76). Among them,postoperative hemorrhage occurred in 1 case;biliary fistula occurred in 2 cases;hydrothorax occurred in (1)case;hepatic abscess occurred in 2 cases;Multiple organ dysfunction syndrome(MODS)occurred in 2 cases;infection of incision occurred in 1 case.5 cases were cured,while the other 2 cases died of MODS.Conclusion There are some effective methods to reduee complications and mortality including complete hemostasis,effective drainage,protection of hepatic function and prevention of MODS.