肝损伤的程度、类型与治疗方法选择

治疗肝损伤５２例，其中对Ⅰ～Ⅱ级肝损伤采用保守治疗、单纯清创缝合和深部褥式缝合的方法，Ⅲ级损伤选择大网膜或明胶海棉填塞加缝合的术式，Ⅳ级损伤行清创性肝切除术，Ⅴ级损伤则根据患者损伤的部位及全身情况采用单纯纱布填塞和肝后下腔静脉修补术，结果治愈率达９４．２％。提示没有一种疗法能包治所有的肝损伤，只有根据患者肝损伤的程度及类型，并结合本单位的技术和设备条件选择治疗方法，才能取得良好的疗效。

Degrees and types of liver injury and choice of treatment

2 cases of liver injury were treated. Conservative treatment, debridement and suturing and deep mattress suture were taken for I-II degree liver trauma, greater omentum or gelatin tamponage plus suture were chosen for III degree liver injury, debridement with partial hepatectomy was chosen for IV degree liver injury and gauze tamponage and infeior vena cave in posterior liver repairing resection was performed depending on position of liver injuries and general conditions of the patients. Results showed that the total cue rate was 94.2%. It is indicated that not all the liver injuries can be treated with one therapy. The good therapeutic effectiveness can be received only according to the degrees and types of the patients and the choice of treatment with the technique and equipment condition of the hospital.