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Acute liver injury in clinical treatment research
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Acute liver injury in clinical treatment research
Acute liver injury had a higher mortality rate, how to improve the early diagnosis of liver trauma, how to choose surgery or surgical treatment, has been the key to the treatment of liver trauma. Our hospital is nearly 4 years, 85 cases of liver trauma cases retrospective analysis, reported as follows:
1 Materials and Methods Patients were treated 85 cases of acute liver injury, according to More [1] classification of liver damage, degrees 25 cases, degrees 28 cases, V degrees degrees to 32 cases: combined total of 12 cases of rib fracture: All group of selected patients had no significant damage other organs. degree level and I use non-surgical treatment of patients, including grade sicker patients in the 8 cases, diverted surgery; degrees degrees to V were applied in patients with surgical treatment.
2 Results Easy to establish the diagnosis of liver injury, liver injury is hard to determine accurately the degree of liver injury after diagnosis Keyi condition to decide whether surgery. All patients with non-surgical treatment group, 9 patients had abdominal infection and / or subphrenic abscess, and the remaining period of healing I received; surgical treatment group 40 cases the CPC, I have been 22 cases of cured, 5 cases of intra-abdominal infection, 3 cases with multiple organ failure, 8 cases with secondary bleeding, 2 cases with courage fistula.
3 Discussion Selection of liver trauma surgery division of the severity of liver injury is closely related to, the general More of liver injury, according to classification of five degrees, that grade , degree, degree, degree, degrees. Clinical work now, after diagnosis of liver trauma, some patients with mild liver injury may be in non-surgical treatment to be cured; of course, non-surgical treatment should closely monitor patients, including hemodynamic monitoring, abdominal symptoms and signs,
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