MÔ TẢ LÂM SÀNG VÀ CẬN LÂM SÀNG NGƯỜI BỆNH CHẤN THƯƠNG GAN ĐƯỢC ĐIỀU TRỊ BẢO TỒN TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Objective: Clinical and paraclinical outcomes of patients with conservative treatment for traumatic liver rupture in blunt abdominal trauma at Can Tho City General Hospital. Subject and method: Descriptive cross-sectional, 39 patient of non-operative management of blunt liver trauma at Can Tho General Hospital from 4/2020 to 4/2024. Result: In a study, men were more commonly affected than women with an average age of 35.7 years. The main cause of trauma was traffic accidents 94.8%. The most common symptom is abdominal pain, often accompanied by mild to moderate bleeding. According to the AAST classification, Grade III injuries were the most common 53.8%. Factors associated with the extent of liver injury were blood loss, liver enzymes and intra-abdominal fluid. Conclusion: A study of 39 patients with liver trauma found that all patients presented with abdominal pain and mild to moderate blood loss. Liver enzymes were elevated in all patients, and the majority had AAST-2018 grade III injuries.