中国普通外科杂志2011，Vol.20Issue(7)：740-742,3.
成人钝性肝损伤的非手术治疗
Nonsurgical management of blunt liver injury in adult patients
董志涛 1罗昆仑 1方征 1刘洪 1张伟杰 1李界明1
作者信息
- 1. 解放军第一○一医院普通外科,江苏 无锡214044
- 折叠
摘要
Abstract
Objective To evaluate the efficacy of nonsurgical management for blunt hepatic injury in adult patients. Methods The clinical records of 96 adult patients with blunt hepatic injury undergoing nonsurgical treatment at our hospital during the past 6 years were retrospectively analyzed. Of the patients, the hepatic injury grade was 51 (53. 1% ) in grade I, 30 (31. 3% ) grade II, 12 ( 12. 5% ) grade 1 and 3 (3.1% ) grade IV- Diagnosis was based on the history, ultrasonic examination, abdominal paracentesis and CT scan. All patients had monitoring of vital signs and were given symptomatic relief and supportive treatment. Results Nonsurgical management was successful in 87 patients (90. 6% ) and 9 patients were converted to operation. Complications occurred in 15 cases, which included 12 right pleural effusions and 3 perihepatic abscesses. All these complications resolved with non-surgical symptomatic treatment. Conclusions Nonsurgical management is feasible for adult patients with blunt hepatic injury. However, strictly defined indications and precise hemodynamic monitoring along with ultrasonic and CT examination are all critical factors for improving the success rate.关键词
肝/损伤/创伤和损伤/治疗/预后Key words
Liver/inj/Wounds and Injuries/ ther/ Prognosis分类
医药卫生引用本文复制引用
董志涛,罗昆仑,方征,刘洪,张伟杰,李界明..成人钝性肝损伤的非手术治疗[J].中国普通外科杂志,2011,20(7):740-742,3.
