Objective: To discuss the importance of the first aid nursing to save liver trauma life and improve the cure rate.Method: We recorded and analyzed retrospectively more complete 96 cases with severe liver injury from August 2000 to April 2014.Result: 96 liver rupture patients, all hepatic artery ligation, simple hepatic wound debridement repair 30 cases, additional common bile duct and T tube drainage in 6 cases, hepatic artery ligation (HAL) and T-tube drainage 42 cases, 14 cases of irregular hepatectomy, right liver injury 18 cases. The bare area of liver of severe comminuted damage, unable to repair, average blood lost more than 2500 mL, in critical condition, with gauze with packing the injured part and inferior phrenic, using HAL and T tube drainage, all patients were in Prin-gle’s method for processing. The blocking time was within 20 minutes, the average postoperative blood transfusion volume in the 1000-2400 mL. 19 cases of biliary tract bleeding, subphrenic infection in 12 cases, pulmonary infection, organs function failure in 15 cases, 12 cases of death.Conclusion: Liver traumatic rupture patients need early correct diagnosis, with medical treatment, fast recovery of body fluid balance. In the emergency treatment and nursing process should be fast and accurate preoperative blood transfusion with all kinds of preparations, postoperative nursing. Hemorrhagic shock at the same time, operation treatment. First aid nursing positively has great effect on saving the patient’s life and improving the cure rate.%目的：探讨急救护理对挽救肝外伤患者生命，提高治愈率的重要性。方法：对2000年8月-2014年4月收治的记录较完整的96例严重肝外伤作回顾性分析。结果：96例肝破裂患者中，全部行肝固有动脉结扎，单纯肝创面清创缝合修补30例，附加胆总管切开及T管引流6例，肝动脉结扎（HAL）及T管引流42例，14例不规则肝叶切除，右半肝外伤18例，以肝裸区为主的严重粉碎性破损，无法修被，失血量平均2500 mL以上，情况危急，用纱布带填塞受伤部位及膈下，行HAL及T管引流，全部患者均在Prin-gle’s法下进行处理，阻断时间均在20 min内，术后平均输血量在1000~2400 mL。胆道出血共19例，膈下感染12例，肺部感染、器官功能衰竭15例，死亡12例。结论：肝外伤破裂的患者要早期正确诊断，配合医生治疗，快速恢复体液平衡，在抢救治疗和护理过程中要快速准确做好术前配血输血各种准备，术后各种护理，抗失血性休克同时手术治疗，积极的急救护理对抢救患者生命，提高治愈率有很大作用。
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