遵循个体化原则治疗各类肝外伤64例临床体会

目的：探讨不同类型及不同程度肝外伤治疗方法的选择及疗效，以提高肝外伤治疗水平。方法：对1996年5月～2005年5月间收治的64例肝外伤治疗作回顾分析。结果：64例肝外伤根据损伤部位、AAST分级标准及伤情分别选用保守治疗（16例，其中3例中转手术），直接手术治疗（48例）。本组治愈59例（占92．2％），死亡5例（占7．8％）。结论：肝外伤治疗应遵循个体化原则选用适当的外科治疗方法及术式可提高治愈率。

The Clinical Experience for the Treatment of 64 Cases of Different Liver Trauma by Individual Method

Objective:The purpose of this study was to improve the treatment result in hepatic trauma,different therapies were assessed in different types and grades of hepatic injury. Methods:The treatments of 64 cases with liver trauma from 1996. 5 to 2005. 5 in The First Hospital of XiaMen were reviewed retrospectively. Results:According to the injury part,AAST classification and clinical condition,48 cases were directly treated with operation, and 16 cases were treated with conservative therapy in which 3 cases turned to operation. The curative rate was 92. 2%(59 cases) and mortality rate 7.8%(5cases).Conclusion:In the treatment of hepatic trauma, the choice of therapy should accord to the individual clinical condition.