肝外伤31例诊治分析

目的: 总结肝外伤的临床诊断和治疗经验。方法: 对31例肝外伤患者的临床资料进行回顾分析,其中手术治疗29例,非手术治疗2例。结果: 29例患者腹腔穿刺阳性;1例病死,30例治愈。术后发生胆道出血1例,应激性溃疡1例,肝内脓肿1例,膈下感染1例,经保守和B超引导下穿刺引流治愈。结论: 影像学检查与腹腔穿刺相结合是急诊肝外伤的重要诊断方法,根据肝外伤分型与分级决定采取手术或非手术治疗。

Diagnosis and treatment of hepatic trauma:a report of 31 cases

Objective:To summarize the experience in diagnosis and treatment of hepatic trauma.Methods:The data of 31 cases of liver trauma were analyzed retrospectively.Twenty-nine cases were managed by surgical therapy and 2 by non-surgical therapy.Results:Twenty-nine cases were immediately diagnosed by diagnostic peritoneal paracentesis.One died and 30 were cured.After the operation,hemobilia ocurred in 1 case,stress ulcer in 1 case,liver abscess in 1 case and diaphragm infection in 1 case.Conclusions:Image examinat...