Prevention and treatment of intra-abdominal infection in liver trauma
HE Ping
GAO Jin-mou
HU Ping
LI Chang-hua
YANG Jun
LIU Chao-pu
Abstract：Objective To explore the measures for prevention and treatment of intra-abdominal infection in liver trauma.Methods The clinical data of 314 patients with liver trauma between Jan.2006 and Dec.2015 was analyzed.There were 221 males and 93 females,with age ranging from 15 to 76 years( average,38 years) .Totally 129 cases received non-operative treatment,and 185 cases received operative treatment.Results Fifty-four cases occurred peritoneal infection,all of whom were from the operation group,with the infection rate of 29.2%.Of the 185 cases in the operation group,there were 73 cases of isolated hepatic injury( according to American Association for the Surgery of Trauma, 68 cases of gradeⅢto gradeⅤwith 14 cases developing peritoneal infection,and 5 ca-ses of gradeⅠ-Ⅱwithout peritoneal infection).A total of 112 cases were associated with other organ injuries (33 out of 67 cases of gradeⅢto gradeⅤdeveloped peritoneal infection,and 7 cases of 45 cases of gradeⅠ-Ⅱdeveloped peritoneal infection.Of 54 patients with peritoneal infections,49 cases were cured(90.7%).Conclusion The inci-dence of intra-abdominal infection is high in the patients with severe hepatic injury or associated with multi-organ inju-ry in the abdomen.Reasonable surgical procedures based on classification of liver trauma,adequate drainage and com-bined application of preventive techniques can effectively decrease the incidence and mortality of intra-abdominal in-fections in liver trauma.
Keywords：liver traumaintra-abdominal infectioncomplicationpreventiontreatment
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 519-521 )