Diagnosis and treatment of liver trauma (a report of 210 cases)
- VernacularTitle:肝损伤的诊断与治疗(附210例报告)
- Author:
Qiwu LIU
;
Zixiu ZHANG
;
Yuntao LI
;
Zhenzong YANG
;
Chunqiao HE
- Publication Type:Journal Article
- From:
Chinese Journal of General Surgery
2001;10(3):259-261
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the ideal effective treatment of liver trauma. Methods The injury state, treating methods, effect and death causes of 210 patients with liver trauma were retrospectively analysed. Results Of the patients, the liver trauma was in degrees Ⅳ Ⅴ Ⅵ in 88 cases (41.9%). Among 198 cases treated with operation, 39 underwent partial hepatectomy, 13 with gauze packing, 146 with debridement and suturing. 2 receieved inferior vena cava repairing, 4 liver atrery ligation. 19 patients died of serious injury, the death rate was 9% (19/210). Of the 19 cases, 12 (63.2%) died of great amount blood loss. Conclusions The treatment of liver trauma should depend on the degree of injury. The death rate could be reduced by shortening the preoperative time and decreasing the amount of blood loss. Gauze packing can be applied as a temporary way to save the patients life.
