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我院自1976.1～1991.12月经手术处理肝损伤40例。现将临床资料分析如下。临床资料本组40例,男性32例,女性8例。年龄最小7岁。最大68岁,其中15～30岁27例,占67.5％。本组开放性肝损伤11例,占27.5％;闭合性肝损伤29例,占72.5％。致伤原因为刺伤11例,撞击伤15例,挤压伤8例,坠落伤3例,砸伤2例。本组单纯性肝损伤22(55％)例;复合伤18(45％)例;合并伤共38例次,其中颅脑伤3例,血气胸2例,肺损伤2例,肋骨骨折6例,肾损伤5例,腹膜后血肿9例,脾破裂3例,膈肌破裂1例,胃损伤1例,十二指肠损伤1例,膀胱血肿1例,胆囊损伤2例,其它2例。本组手术43例,术中所见:右肝损伤28例,左肝损伤10例,左右肝损伤2例。腹内积血量最少300ml,最多4500ml,平均1300ml。
Our hospital from 1976.1 ~ 1991.12 menstrual surgery in 40 cases of liver injury. The clinical data are analyzed as follows. Clinical data of 40 cases in this group, 32 males and 8 females. The youngest 7 years old. A maximum of 68 years old, of which 15 to 30 years old in 27 cases, accounting for 67.5%. The group of open liver injury in 11 cases, accounting for 27.5%; closed liver injury in 29 cases, accounting for 72.5%. The causes of injury were puncture injury in 11 cases, impact injury in 15 cases, crush injury in 8 cases, fall injury in 3 cases and crush injury in 2 cases. The group of simple liver injury in 22 (55%) cases; composite injury 18 (45%) cases; combined injury a total of 38 cases, including 3 cases of craniocerebral injury, hemothorax in 2 cases, 2 cases of lung injury, rib fractures in 6 cases, 5 cases of renal injury, 9 cases of retroperitoneal hematoma, 3 cases of splenic rupture, 1 case of diaphragm rupture, 1 case of gastric injury, 1 case of duodenal injury, 1 case of bladder hematoma, 2 cases of gallbladder injury and 2 cases of other cases. The group of 43 cases of surgery, intraoperative findings: right hepatic injury in 28 cases, left liver injury in 10 cases, left and right liver injury in 2 cases. Intra-abdominal blood volume of at least 300ml, up to 4500ml, an average of 1300ml.