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合并肝硬化肝外伤治疗探讨
引用本文:曲明,刘延军,王营,尹惠生,杜英东,张成钧. 合并肝硬化肝外伤治疗探讨[J]. 中华普通外科学文献(电子版), 2011, 5(6): 18-20. DOI: 10.3877/cma.j.issn.1674-0793.2011.06.005
作者姓名:曲明  刘延军  王营  尹惠生  杜英东  张成钧
作者单位:解放军107医院肝胆外科, 山东烟台,264002
摘    要:目的 探讨合并肝硬化肝外伤治疗方法 .方法 回顾性分析1995 年1 月至2010 年1月我院合并肝硬化肝外伤24 例,非手术治疗6 例,手术治疗18 例.结果 治愈22 例,死亡2 例.非手术治疗6 例,均治愈,其中1 例发生胆瘘,经B 超引导下穿刺置管引流治愈.手术治疗18 例,2 例分别因术中失血性休克和术后肝功能衰竭死亡,16 例治愈,其中术后胆道出血1 例,保守止血痊愈;胆瘘1 例,充分引流治愈.结论 合并肝硬化肝外伤需及时采取有效治疗方法 ,术中仔细操作,注意处理合并伤,积极维护肝功能,提高治愈率.

关 键 词:肝硬化  肝脏损伤  治疗

Investigation into treatment of hepatic trauma with liver cirrhosis
QU Ming,LIU Yan-jun,WANG Ying,YIN Hui-sheng,DU Ying-dong,ZHANG Cheng-jun. Investigation into treatment of hepatic trauma with liver cirrhosis[J]. Chinese Journal of General Surgery(Electronic Version), 2011, 5(6): 18-20. DOI: 10.3877/cma.j.issn.1674-0793.2011.06.005
Authors:QU Ming  LIU Yan-jun  WANG Ying  YIN Hui-sheng  DU Ying-dong  ZHANG Cheng-jun
Affiliation:QU Ming,LIU Yan-jun,WANG Ying,YIN Hui-sheng,DU Ying-dong,ZHANG Cheng-jun.Department of Hepatobiliary of Yan Tai PLA 107 hospital,264002 Yantai,China
Abstract:Objective To investigate the treatment of hepatic trauma with liver cirrhosis.Methods Twenty-four cases of patients with liver cirrhosis which undergoing hepatic trauma from January 1995 to January 2010 were studied retrospectively.There were 18 cases with operative treatment,while 6 cases with conservative treatment.Results Twenty-two cases were cured,while 2 cases died.Six cases with conservative treatment were cured,including one case occurred biliary fistula and was cured by catheter drainage through ul...
Keywords:Liver cirrhosis  Hepatic trauma  Treatment  
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