严重肝外伤的外科急诊救治及预后因素分析

目的探讨严重肝外伤的外科急诊救治方法及预后相关因素。方法采用单因素分析18例AASTⅢ级及以上严重肝外伤患者临床资料。结果18例严重肝外伤患者中存活12例，死亡6例。单因素分析结果显示，休克时间、失血量，手术时间等与患者顸后有关。结论严重的肝外伤的外科急诊救治必须遵循个体化治疗原则，快速的绿色通道，恰当的手术方式以及介入技术的协助，往往能够极大提高肝外伤抢救的成功率。

Emergency surgical treatment and prognostic factors analysis of severe liver trauma

Objective To explore serious liver trauma surgical emergency treatment meth- ods and prognosis - related factors of severe hepatic trauma. Methods Single factor analysis was conducted to the clinical data of 18 AAST Ⅲ or above patients with severe liver trauma. Results Among 19 patients, 12 survived and 6 died. The results of single factor analysis showed that shock time, blood loss, operating duration were related with the prognosis of the patients. Conclusion Severe liver trauma emergency surgical treatment must follow the principle of individualized treat- ment. Fast and easy access, the proper operation and interventional technique can greatly enhance the success rate of liver trauma rescue.