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目的：探讨小儿肝外伤的诊断方法和治疗措施。方法：总结17例小儿肝外伤的临床资料，术前行腹腔穿刺17例，B超检查12例，CT检查9例；非手术治疗4例，中转手术1例，共手术14例。结果：确诊门例，治愈16例，死亡1例。结论：小儿肝外伤的诊断可确切到肝破裂的部位和程度；非手术方法可治疗Ⅰ级和部分Ⅱ级肝损伤，多数病儿要通过不同的手术方式治疗。
Objective: To explore the diagnosis and treatment of pediatric liver injury. Methods: The clinical data of 17 cases of pediatric liver injury were summarized. 17 cases were performed abdominal paracentesis, 12 cases were diagnosed by B-mode ultrasound and 9 cases were examined by CT. Non-surgical treatment was performed in 4 cases, 1 case was transfered and 14 cases were operated in total. Results: Confirmed door cases, cured 16 cases, 1 died. Conclusion: The diagnosis of pediatric liver injury can confirm the location and degree of liver rupture. The non-operative method can treat grade Ⅰ and part Ⅱ grade liver injury. Most of the sick children should be treated by different surgical methods.