CLINICAL ANALYSIS OF CONSECUTIVE 50 CASES OF HEPATIC TRAUMA

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  • TAKEUCHI Nobumichi
    Department of Critical Care and Emergency Medicine, Yokohama City University School of Medicine
  • YAMAMOTO Yuji
    Department of Critical Care and Emergency Medicine, Yokohama City University School of Medicine
  • SATO Yoshiki
    Department of Critical Care and Emergency Medicine, Yokohama City University School of Medicine
  • FUKUDA Naoto
    Department of Critical Care and Emergency Medicine, Yokohama City University School of Medicine
  • TOKUNAGA Makoto
    Department of Critical Care and Emergency Medicine, Yokohama City University School of Medicine
  • SUGIYAMA Mitsugi
    Department of Critical Care and Emergency Medicine, Yokohama City University School of Medicine

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  • 外傷性肝損傷50例の臨床的検討

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Abstract

Fifty cases of hepatic trauma treated in our department were analysed.<br> 90% of cases were blunt trauma and the most common cause was traffic accident. We did surgery for hemostasis in 31 cases, conservative therapy with careful observation in 9 cases, conservative therapy with careful observation in 9 cases. Ten patients died before surgery without improvement of vital signs.<br> The systolic pressure on arriving at our hospital had significantly lower in patients with severe hepatic injury which would require surgery than in those would not. The patients with lower systolic pressure than 90mmHg had significantly larger possibility to have severe injury in liver. There is no significant correlation between laboratory examintions and neither mortality nor the severity of liver injury.<br> The diagnosis from ultrasonography, Roentgenogram, computed tomography during initial treatment matched the final diagnosis in only 58% of our cases.<br> The patients with lower systolic pressure than 90mmHg at admission without severe extraabdominal injury have to be considered to have severe liver injury which needs surgery.

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