CAJ | 학술논문

目的探讨肝切除在肝挫伤中的应用.方法回顾性分析我院2009年1月~2012年1月严重肝挫伤的38例患者的临床资料.结果20例患者采取肝切除术,其中死亡2例(10%),其余18例患者术后恢复良好,无继发性出血,胆瘘及肝脓肿的发生；18例采取其它手术方式的患者,死亡1例(5.56%),继发性出血3例(16.67%),胆瘘及肝脓肿分别为4例(22.22%),2例(11.11%).结论肝切除可用于严重的肝挫伤,能有效预防继发性出血,胆瘘及肝脓肿,但会增加患者的死亡率,因此在手术中要注意掌握手术指佂.
목적탐토간절제재간좌상중적응용.방법회고성분석아원2009년1월~2012년1월엄중간좌상적38례환자적림상자료.결과20례환자채취간절제술,기중사망2례(10%),기여18례환자술후회복량호,무계발성출혈,담루급간농종적발생；18례채취기타수술방식적환자,사망1례(5.56%),계발성출혈3례(16.67%),담루급간농종분별위4례(22.22%),2례(11.11%).결론간절제가용우엄중적간좌상,능유효예방계발성출혈,담루급간농종,단회증가환자적사망솔,인차재수술중요주의장악수술지정.
Objective: To discuss the application of hepatic resection in liver contusion. Methods: To make retrospective analysis of 38 patients’ cases during January 2009 to January 2012, which were seriously got liver contusion. Result: There were 20 patients who had taken hepatic resection, two were died (10%), and the other 18 patients recovered very well without secondary hemorrhage, biliary fistula or hepatic abscess; Other 18 patients who were taken other operation with one dead(5.56%) and 3 secondary hemorrhage(16.67%),4 biliary fistula(22.22%) and 2 hepatic abscess(11.11%). Conclusion: Hepatic resection can be applied in serious liver contusion, which can prevent secondary hemorrhage biliary fistula and hepatic abscess effectively, but it will increase the death rate of patients, therefore, more attention should be paid to the operation indication.