Clinical analysis of 118 cases of liver injury.docVIP

 PAGE \* MERGEFORMAT 11 Clinical analysis of 118 cases of liver injury [Abstract] Objective To investigate the clinical diagnosis of liver injury and effective treatment. Methods From 118 patients with liver trauma were retrospectively analyzed the clinical data. Results 118 patients, 112 patients were cured, including 45 non-surgical treatment cases, surgery in 73 cases, 6 deaths, 2 patients died of postoperative DIC, 4 patients died of postoperative MODS. Conclusion liver injury should be based on the degree of liver injury in time to select the correct treatment, aggressive treatment of associated injuries can be effectively improve the success rate of salvage liver trauma. [Keywords:] diagnosis of non-surgical treatment of liver trauma surgery General surgery of liver trauma is a common acute abdomen, abdominal trauma accounted for 15% to 20% [1], the incidence rate after the rupture, often with multiple injuries, associated injuries, and injury complex and high mortality. General the mortality rate of liver injury 31%, severe liver trauma mortality rate 58.4% [2]. Therefore, timely and correct diagnosis and to take positive and effective treatment is the key to the success of the rescue of liver injury. our hospital since 2002 January to January 2009 were treated between 118 cases of liver trauma patients, the results were satisfactory. are reported as follows: 1 General Information 118 patients in this group, 78 males and 40 females, aged 9 to 68 years old, average 35.5 years old. Injury to admission time of 30min ~ 15d. 55 cases of traffic accidents, crush injuries falling 32 cases, 20 cases of knife stabbing the other 11 cases. blunt trauma in 70 cases, 48 cases of open injury. associated injuries in 5 cases with head injury, pulmonary contusion in 11 cases, 8 cases of splenic rupture, thoracoabdominal injuries in 5 cases, 2 cases of combined right kidney laceration , pneumothorax, rib fracture with blood in 6 cases, 13 cases of combi