肝外伤99例急救体会

目的：总结肝外伤的临床特点，提高对肝外伤的诊疗水平。方法：回顾性分析我科2003年9月至2006年5月收治的99例肝外伤的临床资料。结果：治愈89例，死亡10例，病死率为10．1％。结论：早期诊断和及时治疗是处理肝外伤的主要原则。对病情轻，表现不典型的病例，必须严格掌握保守治疗的指征。对病情较重的患者，术前诊断、术中探查及术后观察都应警惕有合并伤的可能。

Liver Trauma Management:Experience of 99 Cases

Objective: To summarize the clinical features of hepatic trauma. Method: The clinical data of 99 cases of hepatic trauma treated in our hospital from Sep 2003 to May 2006, were analyzed retrospectively. Results: 89 cases cured and 10 cases died, the case fatality rate was 10.1%. Conclusion: The principles of management of hepatic trauma are early diagnosis and in time treatment. The indication of expectant treatment should be taken restrictively in slight cases. In severe ones, the associated injury should be noticed in the perioperative period.