CAJ | 학술논문

目的探讨创伤性肝破裂肝破裂的临床诊断及手术治疗方法.方法回顾性分析60例创伤性肝破裂患者的临床资料.结果 45例开放性损伤患者,均结合患者病史、体征及影像学检查确诊,15例闭合性损伤患者,5例采用上述方法确诊,10例采用诊断性腹腔穿刺均为阳性确诊.28例进行肝左叶部分切除术,20例进行肝右叶部分切除术,12例分别进行肝左叶和肝右叶部分切除术.60例患者中,5例(8.33％)死亡,余55例患者中,8例发生术后并发症,经对症处理后,均治愈出院,平均住院时间(15.6±3.5)d.结论创伤性肝破裂是一种危重急症,术前进行迅速正确的诊断,并正确选择手术方式,注重合并伤及术后并发症的处理,可提高救治成功率.
목적 탐토창상성간파렬간파렬적림상진단급수술치료방법.방법 회고성분석60례창상성간파렬환자적림상자료.결과 45례개방성손상환자,균결합환자병사、체정급영상학검사학진,15례폐합성손상환자,5례채용상술방법학진,10례채용진단성복강천자균위양성학진.28례진행간좌협부분절제술,20례진행간우협부분절제술,12례분별진행간좌협화간우협부분절제술.60례환자중,5례(8.33％)사망,여55례환자중,8례발생술후병발증,경대증처리후,균치유출원,평균주원시간(15.6±3.5)d.결론 창상성간파렬시일충위중급증,술전진행신속정학적진단,병정학선택수술방식,주중합병상급술후병발증적처리,가제고구치성공솔.
Objective To explore clinical diagnosis and surgical treatment for the traumatic liver rupture.Methods The clinical data of 60 cases with traumatic liver rupture were retrospectively cralyzed to explore the diagnosis and surgical treatment.Results 45 injury patients were diagmosed by,patient history,signs and imaging studies.15 cases of blunt injury,five cases diagnosed by above methods,10 cases of diagnostic peritoneal puncture are positive diagnosis.28 cases received the left hepatic lobe partial resection,20 cases right lobe partial resection,12 cases had the left hepatic lobe and right lobe partial nephrectomy.Among 60 patients,5 cases(8.33％) were dead and the other 55 patients,8 cases occured postoperative complications,were discharged after symptomatic treatment,the average length of stay was (15.6 ± 3.5) days.Conclusion Traumatic liver rupture is a critical illness,rapid and correct diagnosis before surgery,and choose the correct surgical approach,focusing on merger deal with injuries to postoperative complications,and improve the treatment success rate.