CAJ | 학술논문

总结Ⅳ级以上闭合性肝外伤的非手术治疗经验。对2007年3月～2014年6月我院肝胆外科收治的Ⅳ级以上选择非手术治疗的闭合性肝外伤患者的临床资料进行回顾性分析。全组9例，其中损伤程度Ⅳ级6例，Ⅴ级3例，最终8例行非手术治疗成功治愈，1例中转手术治疗后治愈。非手术治疗措施包括积极监测生命体征、绝对卧床、补液、止血、输血、抗炎、生长抑素、护肝、胃肠减压、腹腔穿刺及经皮肝穿刺置管引流、血管介入栓塞、鼻胆管引流等。当前在血液动力学稳定闭合性的肝外伤患者中，首选非手术治疗应该成为标准治疗。
총결Ⅳ급이상폐합성간외상적비수술치료경험。대2007년3월～2014년6월아원간담외과수치적Ⅳ급이상선택비수술치료적폐합성간외상환자적림상자료진행회고성분석。전조9례，기중손상정도Ⅳ급6례，Ⅴ급3례，최종8례행비수술치료성공치유，1례중전수술치료후치유。비수술치료조시포괄적겁감측생명체정、절대와상、보액、지혈、수혈、항염、생장억소、호간、위장감압、복강천자급경피간천자치관인류、혈관개입전새、비담관인류등。당전재혈액동역학은정폐합성적간외상환자중，수선비수술치료응해성위표준치료。
To summarize the experience of above grade Ⅳ non‐surgical treatment of blunt liver trauma . Retrospective analysis above grade Ⅳ choosing non‐surgical treatment of clinical data in patients with blunt liver trauma of March 2007~June 2014 in our hepatobiliary surgery of hospital .There were nine cases in which the degree of injury grade Ⅳ six cases , grade Ⅴ 3 cases ,8 cases of non‐surgical treatment eventually successfully treated ,one case of cure after transit surgery . Conservative treatment of non‐surgical treatments include active monitoring of vital signs , absolute bed rest , fluids , bleeding ,blood transfusion ,anti‐inflammatory ,somatostatin ,liver ,gastrointestinal decompression ,abdominal puncture and percutaneous catheter drainage , vascular embolization nasal biliary drainage and so on . The current in hemodynamically stable patients with blunt liver trauma ,non‐surgical treatment of choice should become the standard treatment .