纱布填塞法在严重肝外伤中的应用效果分析

摘要

Objective To evaluate the value of applying the gauze packing method in the treatment of severe liver injury. Methods A retrospective analysis of the prognosis of 31 severe liver-injury cases from January 2000 to January 2011 in our hospital. Results 24 patients were cured and 7 deaths, Among 31 recovered patients, liver abscess associated with postoperative pulmonary infection in 5 patients, subphrenic infection in 6 cases, biliary fistula in 2 cases; however they were cured after using conservative treatment approaches such as biopsy and drainage. Conclusion For patients with severe liver injury, the application of damage control concept and gauze packing method can effectively save their lives and reduce mortality in severe liver damage.%目的 探讨纱布填塞法在治疗严重肝外伤中的应用价值.方法 回顾性分析我院2000年1月～2011年1月间31例严重肝外伤患者预后情况.结果 31例患者中治愈24例,死亡7例.术后并发肝脓肿伴肺部感染5例,膈下感染6例,胆瘘2例,均经穿刺、引流等保守治疗后痊愈.结论 对于严重肝外伤患者运用控制损伤理念,采用纱布填塞方法,可有效挽救患者生命,降低严重肝外伤病死率.