NGUYÊN TẮC VÀ KẾT QUẢ SỚM ĐIỀU TRỊ BẢO TỒN CHẤN THƯƠNG GAN TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Introduction: The principles and the early outcomes of non-operation treatment of liver trauma at Viet Duc Hospital. Patients and methods: Retrospectively research liver trauma with non-operation treatment between 1/2019 and 12/2020. Results: There are 146 patients with liver injury who are indicated for conservative non-surgical treatment, in which men account for 80.8%, the mean age is 30.3 ± 13.7 (3-79). The main cause is traffic accidents with the rate of 78.8%, labor accidents 12.4%, daily-life accidents 5.9%, violent accidents 2.9%. There were 95.2% of patients coming to the hospital with blood pressure ≥ 90 mmHg. The majority of liver injury patients were treated conservatively in the study at Viet Duc Hospital, mainly grade III and IV liver injuries with the rate of 48% and 35.6%. Patients with successful conservative treatment are those with liver injury that respond well and quickly to initial resuscitation. The mean hospital stay was 8.3 ± 4.7 days (1 - 41 days). Complications recorded in the study were 9/146 cases, accounting for 6.2%. Conclusions: Initial resuscitation response is the standard for nonoperative conservative management of liver injury. The results of conservative treatment without surgery have good results.