CAJ | 학술논문

目的探讨闭合性肝外伤诊治的有效途径.方法对2000年1月-2010年10月收治的135例闭合性肝外伤的病例进行回顾性分析.结果按美国创伤外科学会(AAST)标准分级法,本组135例Ⅰ级36例,Ⅱ级42例,Ⅲ级33例,Ⅳ级14例,Ⅴ级10例；其中非手术治疗51例,成功42例,9例中转手术；手术治疗93例,死亡7例,病死率5.19％.结论对血液动力学稳定的患者可考虑非手术治疗,但必须严密监测生命体征的变化；及时、合理地选择手术时机、手术方式是减少并发症、降低病死率的关键.
목적 탐토폐합성간외상진치적유효도경.방법 대2000년1월-2010년10월수치적135례폐합성간외상적병례진행회고성분석.결과 안미국창상외과학회(AAST)표준분급법,본조135례Ⅰ급36례,Ⅱ급42례,Ⅲ급33례,Ⅳ급14례,Ⅴ급10례；기중비수술치료51례,성공42례,9례중전수술；수술치료93례,사망7례,병사솔5.19％.결론 대혈액동역학은정적환자가고필비수술치료,단필수엄밀감측생명체정적변화；급시、합리지선택수술시궤、수술방식시감소병발증、강저병사솔적관건.
Objective To study the effective method of improving the diagnosis and treatment of blunt liver injury.Methods The clinical data of 135 cases with blunt liver injury hospitalized in Daxing District People' s Hospital from January 2000 to October 2010 were reviewed retrospectively.Results By standard grading of American Society of Trauma Surgery (AAST) in 1994,36 cases were grade Ⅰ,42 cases gradeⅡ,33 cases gradeⅢ,14 cases grade Ⅳ,10 cases gradeⅤ.Fifty-one cases were treated by non-operative therapy,among which 42 cases were crued,9 cases underwent operative surgery.Ninety-three cases were treated by operative therapy,seven cases died.The morbidity related to blunt liver injury was 5.19％.Conclusions Non-operative therapy may be used firstly in patients with stable hemodynamics,but close monitoring should be done for changes of the life signs.Timely and reasonable choice of time and the way of surgery is important to avoid complications and reduce the mortality rate.