Clinical diagnosis and treatment of diseases of liver trauma.docVIP

 PAGE \* MERGEFORMAT 8 Clinical diagnosis and treatment of diseases of liver trauma [Abstract] liver injury in abdominal trauma is more common and serious injury, its incidence is second only to the rupture of door No. 2. In which the complexity of severe liver trauma injuries, complications, mortality is high, so explore this class diagnosis and treatment of injury, abdominal trauma remains an important issue currently. liver trauma during the war, mostly gunshot wound or stab injury, mainly open injury. In normal times, mostly blunt trauma, such as crush injuries, traffic accident injury, blunt combat injury, falls, etc., mainly blunt trauma, and the most common traffic accident. [Keywords:] in liver injury 1 cause 1.1 Classification and grading of liver trauma The most common cause of liver injury was accidental collision injuries, often with right rib fractures, such as high-speed car steering wheel collision, falls, direct blows and so on. Followed by stab wound, gunshot wounds and other war years. According to different reasons injury, liver injury is divided into penetrating injuries, blunt trauma, according to the integrity of the envelope is divided into laceration, subcapsular hematoma or parenchymal hematoma. At present, assessment of the degree of liver injury, the more common is based on the size of hematoma, the depth of damage, with or without combined injury as an indicator of vascular injury to the liver is divided into six levels above which damage with severe liver trauma. 1.2 Clinical manifestations 1.2.1 Local performance of the right anterior lower chest injury, may have scars, knife, traces of gunshot wounds, skin bruising, hematoma, rib fractures. When combined with other organs or multiple injuries, the local wound easier to ignore. 1.2.2 abdominal pain and peritoneal signs of liver subcapsular hematoma or deep hematoma, may have liver pain, hepatomegaly, or abdominal mass. Liver lacerati