对于较大的闭合性肝损伤,传统的治疗方法是手术,其目的在于施行肝修补和确定有无腹内合并伤.因此,一旦腹腔穿刺抽出血液,剖腹探查势在必行.随着CT扫描作为一种诊断手段而被深入开展,由于它能提供腹内损伤部位和程度方面的解剖信息,一些作者提倡对于某些适合的肝损伤患者采取非手术治疗.为了评价这种处理方法的效果,作者对1986～1987年间所收治的68例闭合性肝损伤患者,选择其中的16例进行了保守治疗. For the larger closed liver injury, the traditional treatment is surgery, the purpose is to perform liver repair and determine the presence or absence of intra-abdominal injury, so once the abdominal paracentesis blood, laparotomy is imperative.With the CT scan As an in-depth diagnostic tool, some authors advocate non-surgical treatment of some suitable liver injury patients because of its ability to provide anatomic information on the site and extent of intra-abdominal injury.To evaluate the efficacy of this treatment, The authors treated 68 patients with closed liver injury from 1986 to 1987 and selected 16 of them for conservative treatment.