Management of patients with liver trauma in a primary-care hospital: a study of 230 patients

VernacularTitle:基层医院230例肝外伤患者的诊治经验
Author: Xu SHEN ; Keyong CHEN ; Ying ZHOU ; Yanyan GU ; Chaobo CHEN
Publication Type:Journal Article
Keywords: Hepatic injury; Damage control surgery; Peri-hepatic packing
From: Chinese Journal of Hepatobiliary Surgery 2016;22(8):513-517
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical efficacy and summarize the experience of treating patients with hepatic injuries in a primary-care hospital.Methods The clinical data of 230 patients with hepatic injuries from January 2002 to December 2014 were retrospectively analyzed.Results 124 patients were treated with surgery and 106 patients (including two patients who were transferred to another hospital) were managed by conservative treatment.Of 230 patients,204 patients recovered well and 26 patients died.63 cases of severe hepatic injuries (grades Ⅲ,Ⅳ,Ⅴ and Ⅵ),the mortality rate reached 25.4％.Concltsions The important points to success in managing these patients are early diagnosis and adequate assessment of liver injury,proper choice of treatment and using the simplest and the most effective means in surgery to control bleeding.