Management strategy of hepatic trauma
10.3760/cma.j.issn.1673-4904.2009.14.005
- VernacularTitle:肝外伤的治疗策略探讨
- Author:
Tao WAN
;
Yadong HE
;
Zhongliang PAN
;
Wei SUN
- Publication Type:Journal Article
- Keywords:
Wounds and injuries;
Liver;
Surgical procedure,non-operative;
Surgical procedures,operative;
Damage control surgery
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(14):12-14
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the management strategy of hepatic trauma. Methods From January 1997 to January 2008, a retrospective study was performed on 112 cases of hepatic trauma. Base on the classification of AAST,non-operative treatment was used in 40 hemodynamic steady patients (grade Ⅰto Ⅱ), hepatic repair was therapeutic method to grade Ⅱ to Ⅳ (48 cases), while hepatectomy or plus selective ligation of hepatic artery were chosen for grade Ⅳ to Ⅴ (13 cases). Peripheral hepatic tamping or plus selective ligation of hepatic artery were effective therapeutic approaches to grade Ⅳ to Ⅴ (11 cases) according to damage control surgery. Results In the operative case.s, 60 cases were cured, 12 died. All non-operative cases were cured. Conclusions Non-operative management is widely becoming one of the most important strategies in the treatment of hepatic trauma with stable hemodynamics. Surgical intervention is still the principal measure of treatment for severe hepatic trauma. According to specific condition, appropriate operative procedures, damage control surgery and prompt management of associated injury will earn a higher success rate.
