Diagnosis and Treatment of Hepatic Trauma

Objective To evalute the management methods of clinical treatment on hepatic trauma.Methods Among 75 patients with hepatic trauma there were 19 cases in grade Ⅰ to grade Ⅱ,32 cases in grade Ⅲ,22cases in grade Ⅳ,2 cases in grade Ⅴ,47 cases were complicated with other organ trauma.61 cases were operated,14 cases conservative treatment,1 case was operated because conservative treatment was not good,and debridement was performed on 3.Results Total 61 cases obtained successful surgery,2 cases died,among them 1 case died for chest complications,1 case died for cirrhosis,5 cases were biliary fistula,among them 4 cases were cured by conservative treatment,1 case were operated second time.Conclusion Patients with liver trauma Ⅰ~Ⅲ grade mainly to conservative treatment,surgery for debridement to suture repair and gauze packing.When necessary,feasible debridement of the liver resection,to avoid the clear liver resection.