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帕霍尔波尔帕尤哈塞纳医院肝脏损伤的管理

Management of liver injuries in Paholpolpayuhasena Hospital.

作者信息

Buddhaboriwan Thongchai

机构信息

Department of Surgery, Paholpolpayuhasena Hospital, Kanchanaburi 71000, Thailand.

出版信息

J Med Assoc Thai. 2003 Feb;86(2):103-10.

Abstract

This retrospective study of 64 patients undergoing surgery was conducted at Paholpolpayuhasena Hospital from September 1992 to August 2002. Fifty-two patients (81.2%) were male and 12 patients (18.8%) were female. The patients' age range was between 10 to 79 years, and 24 patients (37.5%) were in the age group of 20-29 years. Forty-one patients (64.1%) had blunt abdominal trauma, the most common cause of which was traffic accidents, and the most common associated injury of which was splenic injuries. Twenty-three patients (35.9%) had penetrating abdominal trauma, the most common cause of which was stab wounds, and the most common associated injury of which was ileum injuries. The classification of liver injuries was found to be grade II injury in most patients (20 patients, 31.2%). Hepatorrhaphy with suture ligature of the bleeding points and disrupted bile ducts with drainage was the surgical treatment performed in almost all patients (20 patients, 31.2%). The results of treatment were recovery in 49 patients (76.6%), mortality in 15 patients (23.4%), and complications in 20 patients (31.3%). Most of the therapeutic outcomes were accounted for by patients with blunt abdominal trauma.

摘要

这项对64例接受手术患者的回顾性研究于1992年9月至2002年8月在帕霍尔波尔帕尤哈塞纳医院进行。52例患者(81.2%)为男性,12例患者(18.8%)为女性。患者年龄范围在10至79岁之间,24例患者(37.5%)在20 - 29岁年龄组。41例患者(64.1%)有钝性腹部创伤,其最常见原因是交通事故,最常见的合并伤是脾损伤。23例患者(35.9%)有穿透性腹部创伤,其最常见原因是刺伤,最常见的合并伤是回肠损伤。大多数患者(20例,31.2%)的肝损伤分类为Ⅱ级损伤。几乎所有患者(20例,31.2%)都进行了出血点缝扎及破裂胆管引流的肝缝合术。治疗结果为49例患者(76.6%)康复,15例患者(23.4%)死亡,20例患者(31.3%)出现并发症。大多数治疗结果是由钝性腹部创伤患者导致的。

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