33 cases of blunt hepatic injury diagnosis and treatment of Experience.docVIP

 PAGE \* MERGEFORMAT 6 33 cases of blunt hepatic injury diagnosis and treatment of Experience [Abstract] Objective: To explore the diagnosis of blunt hepatic injury measures and treatment programs. Methods: Retrospective analysis of 33 cases of blunt liver injury in clinical data. Results: Ⅰ ~ Ⅱ grade class of 19 cases, in addition to four cases of splenic rupture due to combined external transit operation were non-surgical treatment; Ⅲ -class surgical treatment in 9 cases, non-surgical treatment of two cases of transit operations; Ⅳ were above the level of surgery. Conclusion: The cycle stability of pure Grade Ⅰ ~ Ⅱ grade non-surgical treatment of liver injury in a high success rate; cycle of instability, there are clear signs of peritonitis were, Ⅳ level and above surgery safer. [Keywords:] Blunt liver injury; diagnosis; treatment; Experience Diagnosis and Management Experience of 33 Blunt Liver Injury Patients Blunt liver injury in the chest and abdomen injury is more common, its incidence may be as high as 20%, because of its rich blood supply structure and function complex, often combined trauma, making the handling of injury is also more difficult. In our hospital from August 2002 to August 2006 had treated 33 cases of blunt liver injury, through a review of clinical data for the group analysis, now we feel the report is as follows. A clinical data and methods 1.1 General information on this group of 33 cases, 25 cases were males, 8 females, average age 38 years. 13 cases of isolated liver injury, spleen injury in 9 cases of the merger, extrahepatic bile duct injury in 2 cases, the merger of other abdominal organ injuries in 6 cases, other than abdominal injury in 3 cases. 1.2 Methods According to the United States Association of Trauma organ injury Commission (AAST  OIS) of the liver injury scale [1], Ⅰ ~ Ⅱ grade level in 19 cases; Ⅲ grade 11 cases; Ⅳ ~ Ⅴ grade 3 cases of grade; 33 patients were Conventional abdominal B-ul