Clinical analysis of traumatic rupture of liver.docVIP

 PAGE \* MERGEFORMAT 10 Clinical analysis of traumatic rupture of liver [Abstract] of the treatment of traumatic rupture of liver effects. Traumatic liver rupture should set a reasonable and timely diagnosis and treatment of severe liver trauma of surgery is to choose the right key to treatment. [Keywords:] diagnosis and treatment of traumatic rupture of liver Rupture of abdominal injury in the liver accounted for about 15% higher than the right lobe of the left lobe more common, causes, pathology and clinical manifestations very similar with the rupture, but rupture may be associated with bile duct injury in the liver, bile into the abdominal cavity caused peritonitis, the patients in addition to the performance of bleeding, the abdominal pain and obvious manifestations of peritoneal irritation. dealing with the basic principles of hepatic rupture is a complete debridement, the exact bleeding and adequate drainage. lost the inactivation of live or will be total removal of the liver. 1 Clinical data 1.1 General information on 80 patients with ruptured liver, male 52 cases, 28 females, aged 7 to 64 years, mean age 35 years. Injuries due to impact injury traffic accidents, falls injuries, and stab. Including 11 cases of open injury , 69 cases of blunt trauma. combined with diaphragmatic rupture in 2 cases, 7 cases of ruptured spleen, right kidney damage in 5 cases, 6 cases of rupture of small intestine, pancreatic injury in 2 cases, 17 cases of rib fractures, blood pneumothorax in 16 cases, 10 cases of head injury , 8 cases of limb fracture, spine fracture in 1, 2 cases of pelvic fracture. 1.2 Clinical manifestations History of trauma, and more for the right lower chest or right upper quadrant due to direct violence, and the minority due to indirect violence. Right lower chest or upper abdominal trauma history should be thought of the possibility of hepatic rupture, while the chest through the diaphragm through injury can often