39例严重肝损伤的院内救治(国外英语资料).doc

39例严重肝损伤的院内救治(国外英语资料) 39 cases of severe liver injury in hospital treatment Update Date: 2011-05-11, Chen Xueyun, Yan Ronglinyang, Xing Yi, Wang Laigen, Guo Wenyuan, Wang Weidong Abstract: Objective To investigate the best measures for the treatment of severe liver injury in hospital. Methods the causes of injury, the degree of injury, the blood pressure, the time of injury, the mode of operation, the complications and the mortality of 39 patients with severe liver injury were analyzed statistically. Results 32 cases were cured, 7 cases died, the mortality was 17.9%. The main causes of death were massive blood loss and chest trauma. Conclusion rapid and effective resuscitation, shorter preoperative time, correct choice of surgical procedures and active treatment of combined injuries can improve the success rate of treatment. With intermittent occlusion of the hepatic pedicle finger hepatic debridement hemostasis or resection of liver, omentum or gelatin sponge tamponade suture, wound or perihepatic gauze packing with hepatic artery ligation can be used as the main method for treatment of severe liver injury. Keywords: wounds and injuries, liver; hemorrhage; abdominal puncture; gauze 3 Hospital treatment of 39, cases, of, severe, liver, injury CHEN, Xueyun, YAN, Ronglin, YANG, Xingyi, et, al. (Dept., of, General, Surgery, Changzheng, Hospital, The, Second, Military, Medical, University, Shanghai,, China) Abstract:Objective To investigate the best hospital therapy for severe liver injury. Methods Statistical analysis was made on the clinical data of with severe liver injury. 39 patients The data included cause and degree of injury, blood pressure, associated injuries, preoperative time, operative pattern, postoperative complications and mortality rate. Results Thirty-two patients were cured died mortality rate, 7; was 17.9%. The leading cause of the death was significant blood loss and associated chest injury. Conclusions Rapid and effective resuscitation, shortened