- 1、本文档共8页,可阅读全部内容。
- 2、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
- 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
查看更多
word文档整理分享
参考资料
肝损伤临床分级及治疗方法的探讨
陈中伟 马晓 陈伟 黄存
「摘要」 目的:探讨肝损伤临床分级及两种治疗方法的比较。方法:将我院近5年收治的闭合性肝损伤患者按治疗方法分为手术组86例及非手术组110例。对比两组患者住院天数、年龄等一般指标,同时监测两组患者入院时、治疗第3天、治疗第7天及出院时血色素(HGB)、白细胞(WBC)、血小板(PLT)、直接胆红素(DBIL)、间接胆红素(IBIL)、天门冬氨酸转移酶(AST)、丙氨酸氨基转移酶(ALT)的动态变化。结果:两组患者年龄比较无明显差异(p﹥0.05),住院天数非手术组较手术组缩短(p﹤0.05)。各项指标上:DBIL、HGB两组比较在四个时间段均有统计学意义(p﹤0.05);WBC、AST在治疗第7天和出院时两组比较有统计学意义(p﹤0.05);PLT、IBIL、ALT两组比较在四个时间段均无明显差异(p﹥0.05)。结论:正确把握治疗原则,把握手术适应症。在血流动力学稳定及严密监测情况下,尽可能选择非手术治疗。
「关键词」 肝损伤;分级;非手术治疗
Objective:To discuss clinic grading and contrast of two kinds of treatment about the hepatic trauma;Methods: Choose patients with closed hepatic trauma were hospitalized in our hospital in past five years,which were divided into operative group of 86 cases and nonoperative group of 110 cases according to treatment. To compare the days in hospital and the age et,Before the treatment and 3th,7th day after the treatment and the time live hospital,HGB,WBC,PLT,IBIL,DBIL,AST,ALT in two groups were recorded and analyzed ;Results: There have no obvious difference in two groups about age(p﹥0.05),the nonoperative group was shorter than the operative group about days in hospital(p﹤0.05). there have difference in two groups of HGB and DBIL in the four time(p﹤0.05). there have difference in two groups of WBC and AST in 7th day after the treatment and the time live hospital(p﹤0.05). there have no difference in two groups of PLT、IBIL、ALT in the four time(p﹥0.05);Conclusion:We must grasp the treatment principle and the operation indication exactly.we should choose the nonoperative treatment try our best if with stable hemodynamics and rigorous monitor.
[Key words]:Hepatic trauma;Grading;Nonoperative treatment
肝脏是人体中最大的实质性脏器,血管丰富,质脆易碎。肝损伤可分为开放性肝损伤和闭合性肝损伤。开放性肝损伤需尽早剖腹手术探查,而针对闭合性肝损伤的处理,近些年来随着临床经验的广泛积累,治疗的观念发生了重大变化,非手术治疗已逐渐占据了主导性的地位[1]。笔者总结我院各相关科室近5年收治的闭合性肝损伤患者,并对其分级及治疗做一探讨。
1 资料与方法
1.1 临床资料
选择2006-2011年我院各相关科室收治的有闭合性肝损伤的患者196例,分为手术组(A组)86例及非手术组(B组)110例。两组患者一般资料见表1。其中肝胆外科78例,普胸外科29例,神
文档评论(0)