On the Prognostic Factors of Choosing Non-surgical Treatment for Traumatic Hepatorrhexis
JIN Wan-liang
Abstract：Objective:To analyze the prognostic factors of choosing non-surgical treatment for traumatic hepatorrhexis.Method:It was to given non-surgical treatment to the 58 patients chosen with traumatic hepatorrhexis,and analyzed the effects of their vital signs,amount of intra-abdominal bleeding and hepatorrhexis degree on admission on the prognosis.Result:52 cases of non-surgical treatment were successful,with a success rate of 89.7%,and 6 cases were converted to surgical intervention,with an incidence rate of 10.3%. The contrastive analysis of the data showed that AAST liver traumatic division and blood loss volume had an obvious impact on the occurrence of conversive surgical intervention(P<0.05).Conclusion:If the hemodynamics is stable or stable after treatment,patients with traumatic hepatorrhexis can be considered to be given non-surgical treatment,as there often exists a satisfactory result. There is often a good prognosis of patients with stable blood pressure,little or no hemoperitoneum,as well as an AAST liver traumatic division lower than levelⅡon admission. While it has a significantly lower success rate if the free blood volume in enterocoelia is higher than 500 ml after CT examination and the AAST division is or is higher than levelⅢ.
Keywords：Hepatic injuryNon-surgical treatmentInfluence factorsPrognosis
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 18-20 )