严重交通事故致外伤性肝破裂86例临床分析.pdfVIP

中国医药导刊 523 2014年 第 16 卷 第 3 期（总第125期） 严重交通事故致外伤性肝破裂86例临床分析 许喜崇,赵象文,张建东,赖智权,许宇铃 (广东省中山市小榄人民医院普外科,中山528400) 【摘要】 总结分析严重交通事故致外伤性肝破裂的临床特点及治疗情况。 选择2009年6月~2012年11月期间我院收治 目的: 方法: 的86例严重交通事故致外伤性肝破裂患者为研究对象,分别根据病情选择保守治疗或手术治疗措施,分析治愈情况。结果:临床特 点:①闭合性肝损伤比例82.56%明显高于开放性损伤比例17.44%,差异显著(P0.05); ②伴发伤中肋骨骨折、胰腺及脾脏受损比例高 于其他损伤部位;③AAST分类中,76.53%的患者属于Ⅰ级、Ⅱ级,其中Ⅰ级损伤比例明显高于其他级别,差异显著(P0.05) 。经保守 治疗和手术治疗后82例痊愈,治愈率95.35%,术后6例(6.98%)发生血肿、感染、胆瘘等并发症,对症治疗后痊愈。结论:交通事故伤者 外伤性肝破裂要及时诊断,选择合理的手术方式是提高预后的关键。 交通事故;外伤性肝破裂;临床分析 【关键词】 R657.3 A 1009-0959(2014)03-0523-02 【中图分类号】 【文献标识码】 【文章编号】 Clinical Analysis of 86 Patients with Liver Traumatic Rupture Induced by Severe Traffic Accidents Xu Xi-chong, Zhao Xiang-wen, Zhang Jian-dong, et al. (Department of General Surgery,Peoples Hospital of Xiaolan,Zhongshan Guangdong, Zhongshan 528400,China) 【 】 The objective of the present study was to analyze and summarize clinical characteristics and treatment of ABSTRACT Objective: patients with liver traumatic rupture induced by severe traffic accidents.Methods:86 patients with liver traumatic rupture induced by severe traffic accidents were recruited and cured in our hospital from June of 2009 to November of 2012, and the patients were selected as research subjects in the present study. The patients were treated with conservative treatment or operation treatment according to patients ’