Treatment of 209 cases of liver injury.
OBJECTIVE
To summarize the experience of the treatment of traumatic hepatorrhexis.


METHODS
The clinical data of 209 cases of liver trauma treated in the three affiliated hospitals of the Third Military Medical University from 1989 to 1999 were retrospectively analyzed. Among the 209 patients, 108 (51.7%) had Grade III or more severe liver injury. Operative treatment was performed in 186 cases and preservative treatment in 23.


RESULTS
In the operated group, 169 patients were cured. The complications occurred in 18 patients and 17 of them died. In the non-operated group, the complications occurred in 22 patients and only 1 of them died.


CONCLUSIONS
Severe injury and delayed treatment are two major factors leading to death from liver injuries. Surgical intervention is still the principal measure to treat traumatic hepatorrhexis. The indications for non-operative treatment should be carefully selected.
Ma
Xiao-lin
XL
PLA Center for Treatment of Trauma and War Injury, Research Institute of Field Surgery, Daping Hospital, Third Military Medical University, Chongqing 400042, China.
Jiang
Yao-guang
YG
Yang
Zhi-huan
ZH
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D002648:Child; D002675:Child, Preschool; D002681:China / Q000453:epidemiology; D015331:Cohort Studies; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000379:methods; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D008099:Liver / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D018570:Risk Assessment; D017678:Sex Distribution; D016019:Survival Analysis; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*