摘要
Abstract
Objective To study the influence factors of treatment ways to the patients with closed hepatic trauma, and to select the appropriate treatment strategy. Methods The clinical data of 86 patients with closed hepatic trauma admitted in our hospital from May, 2006 to May, 2012 were retrospectively analyzed, divided into the operation (0) group (n = 50) and non-operation (NO) group (n = 36). Central venous pressure (CVP), heart rate (HR), mean arterial pressure (MAP), hemoglobin (HB) and the abdominal fluid volume were observed, statistically analyzed and compared between two groups. Results There were significant difference between NO group and 0 group in CVP, HR, MAP, HB and abdominal fluid volume (P < 0.01). The success rate of classified treatment of hepatic trauma; grade Ⅰwas 100%, grade Ⅱwas 83.3% and gradeⅢ was 66.7% in NO group; gradeⅡ, Ⅲ ,Ⅳ were 100%, grade V was 60% in 0 group. Conclusions The choice of treatment ways to the patients with closed hepatic trauma mainly depended on the close observation of haemodynamics, abdominal fluid volume, especially CVP, combination with CT injury grading, unnecessary operations were avoided.关键词
肝脏创伤/中心静脉压/腹腔积液/血流动力学/手术Key words
Closed hepatic trauma/Central venous pressure/Abdominal fluid/Hemodynamics/Operation
