57 patients with severe liver complications and nursing observation.docVIP

 PAGE \* MERGEFORMAT 10 57 patients with severe liver complications and nursing observation [Keywords:] severe liver injury; surgery; complications; Care Liver injury is a common traumatic acute abdomen, increase in traffic accidents in recent years with serious liver injury (severe livuma, SLT) will also rise, because of injury complex in a critical condition and easy to damage caused by multiple organ surgery processing difficulties, postoperative mortality and complication rate is higher. the degree of liver injury in the exploration according to intraoperative findings, according to American Society for Surgery of Trauma (American Asociation for the Surgery of Trauma, AAST) liver injury grading standards established by [ 1], AAST grade III and above those for the SLT. we are in July 2000 to June 2008 SLT 57 patients were treated, including 27 cases of grade III, IV grade 24 cases, V 6 cases. postoperative complications in 19 cases, observation and care of complications now reported as follows. 1 Clinical data 1.1 General Information of this group 57 patients, 37 males and 20 females, aged 8 to 68 years (mean 36.51 + -6.72 years). The causes of injury: 39 cases of car accident injury, fall injury in 7 cases, 4 cases stabbed , impact injury in 4 cases, 3 cases of crush injury; open injury in 7 cases, 50 cases of blunt trauma; simple hepatic rupture in 17 cases, 40 cases combined with other organ injuries, of which 8 cases were associated with craniocerebral injury, rib fractures blood pneumothorax in 5 cases, 7 cases of splenic rupture, intestinal rupture in 5 cases, 2 cases of pancreatic contusion and retroperitoneal hematoma in 3 cases, 3 cases of right renal contusion, and pelvic fractures in 7 cases. injury site: right liver in 20 cases, 18 cases of left lobe, left and right liver were involved in 19 cases. 1.2 general anesthesia surgical debridement alone to stop bleeding in 8 cases, absorbable gelatin sponge filled Saiga suture in 10 case