肝破裂的个体化治疗体会

目的 总结肝破裂的个体化治疗体会.方法 回顾性分析我院2007年12月至2011年5月收治的61例肝破裂患者的临床资料.根据患者的不同损伤程度、术中探查情况行保守治疗、手术或介入治疗,即采用个体化治疗方案.结果 本组病死率为9.8%,手术治疗的病死率和并发症率最高,介入治疗无死亡病例.结论 肝破裂患者应采用个体化治疗方案以体现"创伤控制"和"微创"的理念,最大程度的提高患者治愈率.

Analysis of individualized treatment of liver injury

Objective To analyze individualized treatment of liver injury.Methods The clinical data of 61patients with liver injury from Dec.2007 to May 2011 were retrospectively analyzed.According to the different degree of injury and the patients’ conditions,individualized treatment such as nonoperative,operative management or TAE were adopted.Results The mortality rate was 9.8%(6/61),and the operation treatment group had the higher mortality rates and complication compared to the other two groups.Successful hemostasis was achieved in all the patients treated by TAE.Conclusion Individualized treatment should be performed on the different patients,which is the reflection of the minimally invasive surgery and damage control surgery.