中国实用外科杂志

中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (12): 1107-1109.

• 论著 • 上一篇    下一篇

外伤性肝破裂预后危险因素探讨

董志涛，罗昆仑，方    征，刘    洪，张伟杰，李界明   

  1. 中国人民解放军第101医院肝胆外科，江苏无锡214044
  • 出版日期:2011-12-01 发布日期:2011-11-28

  • Online:2011-12-01 Published:2011-11-28

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摘要：

目的    分析外伤性肝破裂预后的危险因素。方法    对中国人民解放军第101医院2005年6月至2010年6月收治的118例外伤性肝破裂病人入院时的临床指标进行单因素分析和Logistic回归分析。结果    118例病人中有并发症43例，发生率为36.4%，死亡 10例，病死率为8.5%。单因素分析表明收缩压、脉率、受伤至入院时间、AAST肝脏损伤分级、失血量对并发症发生率有着显著影响（P<0.05）。Logistic回归分析提示收缩压、失血量、受伤至就诊时间、肝脏损伤分级是影响肝破裂预后的独立因素。结论    临床中需重视影响肝破裂预后的各项因素，对病情做出准确判断，制定合适的治疗方案，有助于提高肝外伤的救治成功率。

关键词: 肝损伤, 危险因素

Abstract:

Liver traumatic rupture: an analysis of the risk factors for prognosis  DONG Zhi-tao, LUO Kun-lun, FANG Zheng, et al. Department of Hepatobiliary Surgery, the 101th Hospital of PLA, Wuxi 214044, China
Corresponding author: LUO Kun-lun, E-mail：lkl197041@yahoo.com.cn
Abstract    Objective    To analyze the risk factors for prognosis in liver traumatic rupture. Methods    The clinical data of 118 patients with liver traumatic rupture admitted between June 2005 and June 2010 in the 101th Hospital of PLA were analyzed retrospectively. Statistical analysis was performed univariate analysis and multivariate logistic regression．Results Complications  occured in 43 patients with the overall incidence of 36.4%. Ten patients died with the mortality of 8.5%. Results    of univariate analysis indicated：SBP (systolic blood pressure), PR（pulse rate）, time on admission, injury grade by AAST (American Association Surgery of Trauma)，the volume of blood loss are significant factors that influence the complication incidence for liver traumatic rupture (P<0.05). Multivariate logistic regression indicated：SBP, the volume of blood loss, time on admission and injury grade were independent predictors for prognosis in liver traumatic rupture. Conclusion    It should pay attention to all the factors that influence the prognosis in liver traumatic rupture in clinical work．Exact judgement and appropriate treatment plan are helpful to increase achievement ratio of liver traumatic rupture.

Key words: liver injury, risk factor