103 cases of traumatic rupture of liver treatment options.doc

 PAGE \* MERGEFORMAT 7 103 cases of traumatic rupture of liver treatment options [Keywords:] Wounds and injuries, liver, rupture, surgery Our hospital from January 2000 ~ August 2008 were treated 103 cases of traumatic liver rupture, surgical treatment 99 patients, 4 cases of non-surgical treatment and 5 died, the report is summarized as follows. 1 Materials and Methods 1.1 General information on this group of 103 cases, of which 76 males and 27 females, aged 5 to 69 years, mean 43.7 years. injury to admission time: 0.5 ~ 12h 66 , 12 ~ 24h 33 cases, 1 to 4 days 4 cases. cause of his injuries: 71 cases of traffic accident, falls injuries in 13 cases, 11 cases of crush injury crash, stabbed in 8 cases. 95 cases of closed injury, open wound in 8 cases. site of injury: 27 left liver cases, 45 cases of right liver, left liver in 31 cases of multiple fracture. injury: the severity of liver rupture points system according to Moore [1]: grade 59 cases, grade 37 cases, 7 cases. associated injury : associated injuries were 81 cases, of which nine cases of head injury, chest injuries (rib fractures, pneumothorax blood in 17 cases, four cases of renal contusion, rupture, 16 cases of pancreatic injury in 5 cases, rupture of the gastrointestinal tract, 13 cases of 10 long bone fractures cases of pelvic fracture in 5 cases, 2 cases of bladder rupture. Clinical manifestations: 103 patients with varying degrees of symptoms and signs of peritonitis, 83 cases of muscle tension, abdominal tenderness and rebound tenderness in the right upper quadrant is most obvious hemoperitoneumgt; 1000ml 73 cases, preoperative symptoms of 61 cases with shock, severe anemia and 57 cases, preoperative CT or B ultrasound examination of 69 cases strongly suggest that liver rupture and intraperitoneal fluid, abdominal diagnosis of 91 cases of biopsy-positive and false negative in 12 cases . 1.2 Treatment of non-surgical treatment and results in 4 cases, 99 cases of surgical tr