探讨合并肝硬化肝外伤治疗方法。

回顾性分析1995年1月至2010年1月我院合并肝硬化肝外伤24例,非手术治疗6例,手术治疗18例。

治愈22例,死亡2例。非手术治疗6例,均治愈,其中1例发生胆瘘,经B超引导下穿刺置管引流治愈。手术治疗18例,2例分别因术中失血性休克和术后肝功能衰竭死亡,16例治愈,其中术后胆道出血1例,保守止血痊愈;胆瘘1例,充分引流治愈。

合并肝硬化肝外伤需及时采取有效治疗方法,术中仔细操作,注意处理合并伤,积极维护肝功能,提高治愈率。

To investigate the treatment of hepatic trauma with liver cirrhosis.

Twenty-four cases of patients with liver cirrhosis which undergoing hepatic trauma from January 1995 to January 2010 were studied retrospectively. There were 18 cases with operative treatment, while 6 cases with conservative treatment.

Twenty-two cases were cured, while 2 cases died. Six cases with conservative treatment were cured, including one case occurred biliary fistula and was cured by catheter drainage through ultrasonic guidance. Among 18 cases under operation, 16 cases were cured (one case occurred hemobiliaand was cured through conservative hemostasis, one case occurred biliary fistula and was cured through sufficient drainage). Two cases died of hemorrhagic shock and postoperative liver function failure respectively.

Effective treatment should be immediately performed when it comes to hepatic trauma with cirrhosis. Careful handling, attentive management of associated injury, active protection of hepatic function are the key to improve cure rate.