132 cases of blunt liver injury clinic Analysis（132例钝肝损伤临床分析）.docVIP

132 cases of blunt liver injury clinic Analysis The liver is one of the most vulnerable Visceral abdominal injury, liver trauma, has more than rupture of ranks first [1]. Liver trauma often large amount of bleeding, rapid progression of the disease and high mortality. Therefore, timely diagnosis and treatment to reduce complications and mortality is critical article on the hospital in 2010, 1995, admitted 132 cases of blunt liver injury are summarized as follows: 1 Clinical data 1.1 General Information The group of 102 male and 30 females, aged 11-70 years old, mean age 30.6 + 12.5 years, of which 69 cases of traffic accident injury, falls injury in 15 cases, 17 cases of crush injury, sharp injuries and blunt wounded 31 patients paracentesis blood of 98 cases underwent preoperative ultrasonography or CT diagnosed the injury site left lobe of the 39 cases, 90 cases of the right lobe, both lobes of 12 cases. Injury severity is graded according to the American Trauma Surgery annual Society (AAST liver injury grading standards: 32 cases of grade Ⅰ, Ⅱ grade 47 cases, Ⅲ grade 33 cases of 14 cases, Ⅳ, Ⅴ grade six cases associated injuries, chest nine cases of traumatic brain injury . 1.2 Treatment The group of 39 patients with non-surgical treatment cured. 93 patients underwent surgery, including simple debridement the suture 45 cases, omentum + suture repair 56 cases, debridement + irregular hepatectomy in 12 cases, hepatic artery ligation two cases, perihepatic packing three cases. Surgery in the corresponding parts of the injury-line single-tube or peritoneal drainage tube. 1.3 Treatment Results Non-surgical treatment group, 39 cases with no deaths, 93 cases of surgical treatment group, which I - Ⅲ level liver injury no death. Ⅳ - Ⅴ grade 4 patients died of hemorrhagic shock, 2 patients died of multiple organ failure, and severe associated injuries after five cases of bile leakage, intra-abdominal infection in 2 cases, 2 cases of stress ul