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目的：探讨总结基层医院外伤性肝破裂的诊治策略，提高复杂肝破裂救治水平。方法：回顾性分析研究32例外伤性肝破裂患者的诊疗经验及预后。结果：32例患者中，治愈28例（28/32）；失访1例（1/32）；死亡3例(3/32)，其中术后死亡1例(1/3),2例(2/3)放弃治疗死亡；非手术保守治疗8例(8/32)，均痊愈；手术治疗22例(22/32)。术后发生胆瘘2例，肝脓肿1例，膈下脓肿3例，胸腔积液3例，再出血2例。结论：准确判断伤情，尽早诊断及时手术是挽救肝破裂患者的关键，同时要重视合并伤的救治。“,”Objective:To discuss the diagnosis and treatment of severe liver rupture,enhance the level of management of the liver rupture patients.Methods :Clinical data and approaches to diagnosis and treatment of 32 patients with severe liver rupture were restrospectively analyzed.Results:28 patients survived(28/32),3 patients died(one died after operation,two died after giving up treatment).8 patients recovered in the conservation treatment group,22 patients received surgical operation,biliary fistula(2 cases).The operation complications concluded liver abscess (1 case),subphrenic abscess (3 cases),pleural effusion (3 cases),rehemorrhage (2 cases). Conclusion :Early diagnosis and timely surgery are the key to manage the severe liver rupture.