CLINICAL AND SUBCLINICAL CHARACTERISTICS OF LIVER INJURY TREATED CONSERVATIVELY

Nguyễn Quang Huy1,, Đặng Khải Toàn1
1 115 People’s Hospital, Ho Chi Minh City

Main Article Content

Abstract

Through a study of 140 patients with liver injury  who were treated conservatively at 115 People's Hospital from January 2016 to December 2020. Liver injury in blunt abdominal trauma is common at the age of 21‒49. The average age is 33.5. Male patients are more common than female. The main cause is traffic accidents. Abdominal pain is the most constant physical symptom. Blood loss is usually mild to moderate. All cases of liver rupture patients admitted to the hospital have elevated liver enzymes, the more severe the liver damage, the higher the liver enzymes. Regarding the location of liver damage on computed tomography, most of the lesions were located in the right liver, with the highest percentage of lower segment VI lesions. For the left lobe of the liver, segment IV lesions are most common. Regarding the level of damage according to AAST, grade III is the most common.

Article Details

References

1. M.S. Martin & J.W. Meredith (2017), "Management of acute trauma", Sabiston Textbook Of Surgery, pp.437.
2. Boese C. K.(2015), "Nonoperative management of blunt hepatic trauma: A systematic review", J Trauma Acute Care Surg,79(4), 654‒60.
3. Barbier L. (2018), "Can we refine the management of blunt liver trauma?", J Visc Surg, 803(1), 1‒7.
4. Ngô Quang Duy (2013), "Đánh giá kết quả điều trị bảo tồn không mổ vỡ gan chấn thương", Y Học TP. Hồ Chí Minh,6(17), tr.166‒170.
5. Coccolini F., et al.(2016), "WSES classification and guidelines for liver trauma", World J Emerg Surg,11(1), 50.
6. Zachariah S. K., et al.(2017), "Hepatic transaminases as predictors of liver injury in abdominal trauma", 2017,5(1), pp.6.
7. Radwan M. M. & Abu‒Zidan F. M.(2006), "Focussed Assessment Sonograph Trauma (FAST) and CLVT in blunt abdominal trauma: surgeon's perspective", Afr Health Sci,6(3), 187‒90.