CAJ | 학술논문

目的：探讨外伤性肝破裂患者有效的临床诊断及治疗方法。方法回顾性分析我院2012年6月～2014年8月间收治的34例外伤性肝破裂患者的临床资料，所有患者均行外科手术治疗，手术方法主要包括肝缝合修补术、肝部分切除术、腹腔纱布填塞止血术及肝固有动脉结扎术。结果34例患者中，治愈29例（85.3%），好转5例（14.7%），无死亡病例，术后2例患者出现膈下感染，1例患者出现肝脓肿，1例患者出现腹腔出血，术后并发症发生率为11.8%。结论外伤性肝破裂患者应早期明确诊断，根据患者情况选择合适的手术治疗方式，以提高临床治疗效果，改善患者的预后。
목적：탐토외상성간파렬환자유효적림상진단급치료방법。방법회고성분석아원2012년6월～2014년8월간수치적34예외상성간파렬환자적림상자료，소유환자균행외과수술치료，수술방법주요포괄간봉합수보술、간부분절제술、복강사포전새지혈술급간고유동맥결찰술。결과34례환자중，치유29례（85.3%），호전5례（14.7%），무사망병례，술후2례환자출현격하감염，1례환자출현간농종，1례환자출현복강출혈，술후병발증발생솔위11.8%。결론외상성간파렬환자응조기명학진단，근거환자정황선택합괄적수술치료방식，이제고림상치료효과，개선환자적예후。
Objective To study the effective diagnosis and treatment method of traumatic liver rupture. Methods A retrospective analysis of our hospital between June 2012 - August 2014 were treated 34 cases of traumatic rupture of the liver in patients with clinical data, al patients underwent surgical treatment, surgical methods include liver suture repair, partial hepatectomy, intraperitoneal gauze packing to stop bleeding and hepatic artery ligation.. Results 34 patients were cured 29 cases (85.3%), improved in 5 cases (14.7%), with no deaths, two cases of postoperative infection in patients below the diaphragm, liver abscess in one patient and one patient had abdominal bleeding, surgery after the complication rate was 11.8%. Conclusion Patients of traumatic liver rupture should be early diagnosed, and take appropriate surgical treatment according to the conditions of patients, to improve the clinical treatment effect and the prognosis of patients.