肝周填塞辅助性治疗肝挫裂伤的体会(附32例分析)

目的：探讨肝周填塞治疗严重肝挫裂伤的效果及并发症的防治。方法：分析总结１９７５～１９９９年应用纱布填塞治疗３２例严重肝挫裂伤病人的临床资料。结果：一次填塞止血有效率１００％，手术治愈率７１．９％，死亡率２８．１％。膈下感染或肝周脓肿发生率３１．３％，胆漏１２．５％，再出血６．３％，无一病例死于并发症。结论：肝周填塞在严重肝挫裂伤的治疗上有着重要作用，填塞止血的效果确切，填塞引起的并发症可以防治。

The Efficiency of Perihepatic Packing as an Auxiliary Treatment in Severe Liver Injury: A Report of 32 Cases.

Objectives: To evaluate the efficiency of perihepatic packing as an auxiliary treatment in severe liver injury. Methods: The outcome of 32 cases with severe liver injury treated by perihepatic packing during the period 1975 to 1999 was retrospectively analyzed. Results: Hemostasis successfully achieved by the first attempt in all cases, of which, 23 cases was cured(71.9%), the mortality rate being 28.1%(n=9). Biliary leakage occured in 4 cases(12.5%), secondary bleeding in 2(6.3%), subphrenic and perihepatic abscess in 10(31.3%). No case died of complications. Conclusions: Perihepatic packing plays an important role as an auxiliary treatment of severe liver injury, and the accompanied complications induced by packing can be prevented and controlled.