论文部分内容阅读
目的 :探讨改进治疗方法对减少儿童闭合性肝损伤并发症、降低死亡率的作用。方法 :对我院 1983 6～ 1999 9间 95例儿童闭合性肝损伤资料分两时期进行对比分析。结果 :前期 ( 1983 6～ 1993 8)手术治疗 5 3例 ,并发症率为 3 3 9% ,死亡率为 13 2 %。近期 ( 1993 9～ 1999 9) 42例 ,选择性非手术治疗 2 0例 ,手术治病 2 2例 ,并发症发生率为 2 1 4% ,下降显著 (P <0 0 5 ) ,死亡率为 11 9% ,与前期相比差异无显著意义。结论 :选择性非手术治疗儿童肝损伤可减少并发症的发生 ,严重肝损伤是死亡的主要原因 ,加强术前复苏治疗 ,术中彻底止血可降低死亡率。
Objective: To explore the effect of improved treatment on reducing the complication and reducing the mortality rate of closed liver injury in children. Methods: The data of 95 cases of 95 children with acute hepatic injury in our hospital from 1983 6 to 1999 9 were compared in two periods. Results: In the early stage (1983 6 ~ 1993 8), 53 cases were treated surgically. The complication rate was 33.9% and the death rate was 132%. The recent (1993 9 ~ 1999 9) 42 cases, selective non-surgical treatment 20 cases, surgical treatment of 22 cases, the complication rate was 14.4%, significantly decreased (P <0 05), the mortality rate was 11 9%, no significant difference compared with the previous period. Conclusion: Selective non-surgical treatment of children with liver injury can reduce the incidence of complications. Severe liver injury is the major cause of death. Strengthening preoperative resuscitation and complete hemostasis during operation may reduce the mortality rate.