Relevance and current state of the problem of diagnosing liver damage in closed abdominal trauma

Abstract

We analyzed the results of treatment 134 victims with a closed abdominal trauma with liver damage. Diagnosis of closed abdominal injuries with damage to the liver was performed in the operating room, and wore a complex character. Compulsory execution of CT of the brain, in patients with concomitant trauma, reduced the mortality rate from swelling and the dislocation of the brain at traumatic brain injury. In assisting the victims with a closed abdominal trauma with damage to the liver was used individualized treatment and diagnostic program takes into account the scale of the VPH - MT, as well as the degree of liver damage classification E.Moore et al. (1990). In this case, Assisted Surgery hemostasis ran only hemodynamically stable victims with severe injuries of the abdomen on a scale of VPH-MT for isolated lesions of the liver I-II degree classification EMoore (1990). During laparotomy for I-III degrees of liver damage on the classification ofE. Moore (1990), hemodynamically stable victims with severe and extremely severe injuries of the abdomen on a scale of VpH-MT is the primary suture of liver injury. Atypical resection of hepatic lobe is indicated for IV-V degrees of liver damage in patients with severe injuries of the abdomen on a scale of VPH-MT, as well as admissible in grade IV liver injury in hemodynamically stable victims of extremely severe injuries of the abdomen on a scale of VPH-MT.