肝破裂

Objective: To investigate the operation of serious hepatic trauma.

目的：探讨对严重肝破裂病人的手术治疗。

Results: different operations were performed as following:debridement suture of hepatorrhexis in 15 cases, debridement with greater omentum or gelatin sponge packing in 9 cases,resectional debridement in 7 cases,gauzes packing in 3 cases,suture of inferior vena cava in posterior segment of liver and hepatic vein stem in 2 cases.29 cases were cured(cure rate was 80.56%),7 cases died(mortality was 19.44%).the causes of death were multiple organ dysfunction syndrome in 3 cases, septemia in 1 case,hemorrhagic shock in 1 case and secondary bleeding after operation in 3 cases.

结果：采用肝破裂清创缝合止血15例，清创加带蒂大网膜、明胶海绵填塞缝合9例，清创性肝切除7例，纱布填塞3例，肝后下腔静脉、肝静脉主干缝合修补2例。手术治愈29例，治愈率为80.56％，死亡7例，死亡率为19.44％，死于多器官功能障碍综合征3例、败血症1例、失血性休克1例、继发性出血2例。

H. Liver involvement may present as right upper quadrant or epigastric pain, elevated liver enzymes and subcapsular hemorrhage or hepatic rupture.

肝脏的损害可能表现为右上腹或心前区痛，肝酶升高，包膜下出血或肝破裂。

H. Liver involvement may present as right upper quadrant orepigastric pain, elevated liver enzymes and subcapsular hemorrhageor hepatic rupture.

肝脏的损害可能表现为右上腹或心前区痛，肝酶升高，包膜下出血或肝破裂。

Objective To explore the causes and strategy of diagnosis and treatment of spontaneous hepatorrhexis.

目的 探讨自发性肝破裂出血的原因和诊治策略。

Objective To explore the most effective diagnosis and treatment of closed abdominal injury and hepatorrhexis.

目的 探索腹部闭合性损伤肝破裂的最有效的诊断措施及治疗方法。

Methods Forty nine cases of traumatic hepatorrhexis from 1996 to 2001 were studied and the relation between 13 signs found at admission, liver traumatic division of USA, blood loss, and prognosis was analyzed.

方法将 1996～ 2 0 0 1年我院收治的外伤所致的 4 9例肝破裂患者入院时的 13项指标、美国肝脏损伤分级标准、出血量和预后(并发症的发生率和死亡率)的关系进行分析。

Objective To explore the causes and strategy of diagnosis and treatment of spontaneous hepatorrhexis.

作者：汪学伦，张庆仪，祝建勇目的探讨自发性肝破裂出血的原因和诊治策略。

Operation is the principal treatment for traumatic hepatorrhexis, non-surgical treatment is just applicable for simple light hepatorrhexis.

手术是治疗创伤性肝破裂的主要措施，但应根据具体情况，采取个体化手术治疗方案；非手术治疗仅适用于轻型单纯肝破裂。

The causes of SH included rupture of primary hepatocellular carcinoma,liver cirrhosis,hepatic angioma,adenoma,lipoma,peliosis and secondary carcinoma of liver.

出血原因包括原发性肝癌破裂、肝血管瘤破裂、肝硬化结节破裂、肝腺瘤破裂、肝脂肪瘤破裂、肝紫斑病破裂和继发性肝癌破裂。

In the United States, chronic alcoholism and hepatitis C are the most common ones.

在美国，慢性酒精中毒，肝炎是最常见的。

If you have any questions, you can contact me anytime.

如果有任何问题，你可以随时联系我。