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The Therapeutic Analysis for Traumatic Hepatic Rupture in 62 Cases

Author: HongWen
Tutor: ZhaoJinMing
School: Xinjiang Medical University
Course: Surgery
Keywords: Liver rupture Surgery Non-surgical treatment Postoperative complications
CLC: R657.3
Type: Master's thesis
Year: 2010
Downloads: 23
Quote: 0
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Abstract


Objective: To investigate blunt liver trauma treatment and the correct choice of surgical procedures , improve traumatic liver rupture level of surgical treatment . Methods: Retrospective analysis from February 2002 to September 2009 were treated in our hospital 62 cases of traumatic rupture of the liver . Continuous data are expressed as mean ± standard deviation, segment information is expressed as a percentage , continuous data between groups were compared using t test and categorical data between groups were compared using χ2 test. P lt; 0.05 Differences were considered statistically significant . Results: The clinical cure 59 cases , 3 deaths , the cure rate was 95.1% ( 59/ 62 ) , the mortality rate of 4.9% ( 3/ 62 ) . Non-surgical treatment of 25 cases , the cure rate 100% ( 25/25 ) . Emergency surgical treatment of 37 cases , 34 cases were cured , 3 died , 3 patients died of postoperative multiple organ failure . Implementation of suture in 14 cases ; gelatin sponge filled mattress suture 15 cases ; debridement partial hepatectomy six cases ; rules hepatectomy in 2 cases. Postoperative complications occurred in 9 cases, including MODS 3 cases, 1 case of secondary hemorrhage , 1 case of biliary fistula , wound infection in 2 cases, 2 cases of pulmonary infection . Main cause of death was severe associated injuries and shock. Conclusion: Select surgical procedures can significantly improve the success rate and reduce complications , strict control of non-surgical treatment indications can improve the cure rate , liver trauma Ⅰ level appropriate non-surgical treatment ; Ⅱ ~ Ⅲ grade viable non-surgical treatment , viable surgical treatment should be combined with hemodynamic status , peritoneal effusion , peritonitis signs and B-ultrasound and CT comprehensive judgment ; Ⅳ ~ Ⅴ grade suitable for surgical treatment , surgical resection of an irregular liver as the primary tool.

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CLC: > Medicine, health > Surgery > Of surgery > Abdominal surgery > Liver and liver tube
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