中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2013年
4期
634-635
,共2页
闭合性肝外伤%非手术治疗%适应证%延迟性出血
閉閤性肝外傷%非手術治療%適應證%延遲性齣血
폐합성간외상%비수술치료%괄응증%연지성출혈
closed hepatic injury nonoperative management%indication delayed hemorrhage
目的：总结闭合性肝外伤的非手术治疗经验。方法：对2008年3月～2012年3月采用非手术治疗的45例闭合性肝外伤的临床资料进行回顾性分析。结果：60例均痊愈出院。其中非手术治疗成功55例(91.6%)，住院时间为9～20 d，平均13.8 d。余5例因在非手术治疗期间出现血液动力学不稳定或延迟性出血而中转手术治愈。结论：在严格掌握适应证和密切动态观察伤情变化的条件下，非手术治疗闭合性肝外伤是安全可行的，对非手术治疗期间血液动力学不稳定或发生延迟性出血者应及时手术。
目的：總結閉閤性肝外傷的非手術治療經驗。方法：對2008年3月～2012年3月採用非手術治療的45例閉閤性肝外傷的臨床資料進行迴顧性分析。結果：60例均痊愈齣院。其中非手術治療成功55例(91.6%)，住院時間為9～20 d，平均13.8 d。餘5例因在非手術治療期間齣現血液動力學不穩定或延遲性齣血而中轉手術治愈。結論：在嚴格掌握適應證和密切動態觀察傷情變化的條件下，非手術治療閉閤性肝外傷是安全可行的，對非手術治療期間血液動力學不穩定或髮生延遲性齣血者應及時手術。
목적：총결폐합성간외상적비수술치료경험。방법：대2008년3월～2012년3월채용비수술치료적45례폐합성간외상적림상자료진행회고성분석。결과：60례균전유출원。기중비수술치료성공55례(91.6%)，주원시간위9～20 d，평균13.8 d。여5례인재비수술치료기간출현혈액동역학불은정혹연지성출혈이중전수술치유。결론：재엄격장악괄응증화밀절동태관찰상정변화적조건하，비수술치료폐합성간외상시안전가행적，대비수술치료기간혈액동역학불은정혹발생연지성출혈자응급시수술。
Objective:To summarize the experience of nonoperative management of closed hepatic injuries . Methods:The clinical data of nonoperative management for 36 cases with closed hepatic injuries from March 2009 to March 2012 was retrospectively analysed. Results:Thirty six cases were all cured. Among them,55 cases (91.6%)were cured by nonoperative management with the average ho spitalized period of 13.8 (range from 9 to 20 days) ,5 cases were cured by operation after the failure of nonoperative management due to the occurrence of unstable hemodynamics of delayed hemorrhage during the period of nonoperative management. Conclusion:The nonoperative management of closed hepatic injuries was safe and available when indication was strictly controlled and change of injury condition was constantly observed. The operation should be promptly performed when the patient’s hemodynamics was unstable or delayed hemorrhage occurred during the period of nonoperative management.
