中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
22期
43-44
,共2页
肝脏外伤%诊断%手术治疗%非手术治疗
肝髒外傷%診斷%手術治療%非手術治療
간장외상%진단%수술치료%비수술치료
Liver injury%Diagnosis%Operation treatment%Non operation treatment
目的重点研究和探讨肝脏外伤患者的诊治方法及临床效果。方法利用回顾性分析的方法研究和比较对我院于2008年1月至2012年12月十年间收治的24例肝脏外伤患者的临床资料进行回顾性对照分析。将患者随机分为2组，12例采用开放手术进行治疗；12例采用非手术方法进行治疗。运用对比分析的方法，比较开放手术组患者和非手术组患者在治疗后的情况，对患者治疗前后的治愈率和病死率的情况进行比较和探讨。结果24例肝脏外伤患者，治愈18例，治愈率为75.0%，死亡6例，病死率为25.0%。其中肝脏损伤I一II级总计11例，其中手术3例，非手术8例，死亡0例；III一V级总计11例，其中手术8例，非手术3例，死亡4例，病死率36.4%；VI级3例，手术2例，死亡2例。结论手术成功与肝损伤级别相关和选择适当的手术方法着密切的关系，肝脏损伤等级低的患者可以在有效监护下选择非手术治疗，肝脏损伤等级低的患者应该及时进行手术治疗。
目的重點研究和探討肝髒外傷患者的診治方法及臨床效果。方法利用迴顧性分析的方法研究和比較對我院于2008年1月至2012年12月十年間收治的24例肝髒外傷患者的臨床資料進行迴顧性對照分析。將患者隨機分為2組，12例採用開放手術進行治療；12例採用非手術方法進行治療。運用對比分析的方法，比較開放手術組患者和非手術組患者在治療後的情況，對患者治療前後的治愈率和病死率的情況進行比較和探討。結果24例肝髒外傷患者，治愈18例，治愈率為75.0%，死亡6例，病死率為25.0%。其中肝髒損傷I一II級總計11例，其中手術3例，非手術8例，死亡0例；III一V級總計11例，其中手術8例，非手術3例，死亡4例，病死率36.4%；VI級3例，手術2例，死亡2例。結論手術成功與肝損傷級彆相關和選擇適噹的手術方法著密切的關繫，肝髒損傷等級低的患者可以在有效鑑護下選擇非手術治療，肝髒損傷等級低的患者應該及時進行手術治療。
목적중점연구화탐토간장외상환자적진치방법급림상효과。방법이용회고성분석적방법연구화비교대아원우2008년1월지2012년12월십년간수치적24례간장외상환자적림상자료진행회고성대조분석。장환자수궤분위2조，12례채용개방수술진행치료；12례채용비수술방법진행치료。운용대비분석적방법，비교개방수술조환자화비수술조환자재치료후적정황，대환자치료전후적치유솔화병사솔적정황진행비교화탐토。결과24례간장외상환자，치유18례，치유솔위75.0%，사망6례，병사솔위25.0%。기중간장손상I일II급총계11례，기중수술3례，비수술8례，사망0례；III일V급총계11례，기중수술8례，비수술3례，사망4례，병사솔36.4%；VI급3례，수술2례，사망2례。결론수술성공여간손상급별상관화선택괄당적수술방법착밀절적관계，간장손상등급저적환자가이재유효감호하선택비수술치료，간장손상등급저적환자응해급시진행수술치료。
Objective To focus on and discuss the method and clinical effect of treatment of patients with liver injury. Methods Using retrospective study method of analysis and comparison of treated in our hospital from 2008 January-2012 year in December ten years, 24 cases of hepatic trauma were analyzed retrospectively. The patients were randomly divided into 2 groups, 12 cases were treated by open operation;12 cases were treated by non operation treatment method. By the method of comparative analysis, more open in the treatment after the operation group and non-operation group, compare with the discussion of patients before and after the cure rate and mortality. Result 224 cases of hepatic trauma, 18 cases were cured, the cure rate was 75%, 6 cases died, the mortality rate was 25%. The liver injury of I II total of 11 cases, including 3 cases of operation, 8 cases of non operation, 0 cases of death;III V total of 11 cases, of which 8 cases of operation, 3 cases of non operation, 4 patients died, a mortality rate of 36.4%;3 cases of grade VI, 2 cases of operation, 2 cases of death. Conclusion Operation success and liver damage level and choose appropriate operation method closely related to liver injury, patients with low grade can choose non operation treatment in effective care, patients with liver damage level low should be timely operation treatment.
