CAJ | 학술논문

目的探讨创伤性肝破裂的治疗方法,总结治疗经验.方法回顾性分析48例创伤性肝破裂的临床资料.结果本组病例20例行非手术保守治疗,28例行手术治疗,治愈45例,死亡3例.结论手术是治疗创伤性肝破裂的主要方法,手术的主要目的是彻底止血及清创切除损伤坏死的肝组织.对于肝脏损伤较轻,生命体征平稳及血液动力学稳定的患者,在严密的观察下应行积极的非手术治疗.
목적탐토창상성간파렬적치료방법,총결치료경험.방법회고성분석48례창상성간파렬적림상자료.결과본조병례20례행비수술보수치료,28례행수술치료,치유45례,사망3례.결론수술시치료창상성간파렬적주요방법,수술적주요목적시철저지혈급청창절제손상배사적간조직.대우간장손상교경,생명체정평은급혈액동역학은정적환자,재엄밀적관찰하응행적겁적비수술치료.
Objective To explore the treatment of traumatic rupture of the liver, summarize the experience of treatment. Methods a retrospective analysis of the clinical data of 48 cases of traumatic rupture of the liver. Results in the group of patients with 20 cases of non operation treatment, 28 cases were treated by operation, 45 cases were cured, 3 cases died. Conclusion operation is the main method for the treatment of traumatic rupture of the liver, the aim of the operation is completely debridement hemostasis and resection of liver tissue injury or necrosis. For liver injury is lighter, patients with stable vital signs and hemodynamicaly stable, should be treated with non operation active in strict observation.