Özoğul Bünyami, Kısaoğlu Abdullah, Aydınlı Bülent, Öztürk Gürkan, Bayramoğlu Atıf, Sarıtemur Murat, Aköz Ayhan, Bulut Özgür Hakan, Atamanalp Sabri Selçuk
Department of General Surgery, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Department of Emergency Medicine, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Ulus Travma Acil Cerrahi Derg. 2014 Mar;20(2):97-100. doi: 10.5505/tjtes.2014.20737.
Liver is the most frequently injured organ upon abdominal trauma. We present a group of patients with blunt hepatic trauma who were managed without any invasive diagnostic tools and/or surgical intervention.
A total of 80 patients with blunt liver injury who were hospitalized to the general surgery clinic or other clinics due to the concomitant injuries were followed non-operatively. The normally distributed numeric variables were evaluated by Student's t-test or one way analysis of variance, while non-normally distributed variables were analyzed by Mann-Whitney U-test or Kruskal-Wallis variance analysis. Chi-square test was also employed for the comparison of categorical variables. Statistical significance was assumed for p<0.05.
There was no significant relationship between patients' Hgb level and liver injury grade, outcome, and mechanism of injury. Also, there was no statistical relationship between liver injury grade, outcome, and mechanism of injury and ALT levels as well as AST level. There was no mortality in any of the patients.
During the last quarter of century, changes in the diagnosis and treatment of liver injury were associated with increased survival. NOM of liver injury in patients with stable hemodynamics and hepatic trauma seems to be the gold standard.
肝脏是腹部创伤中最常受伤的器官。我们报告一组钝性肝损伤患者，他们在没有任何侵入性诊断工具和/或手术干预的情况下得到了治疗。
共有80例因合并伤入住普通外科门诊或其他科室的钝性肝损伤患者接受了非手术治疗。对呈正态分布的数值变量采用Student's t检验或单因素方差分析进行评估，对非正态分布变量采用Mann-Whitney U检验或Kruskal-Wallis方差分析进行分析。卡方检验也用于分类变量的比较。当p<0.05时认为具有统计学意义。
患者的血红蛋白水平与肝损伤分级、预后及损伤机制之间无显著相关性。此外，肝损伤分级、预后、损伤机制与谷丙转氨酶（ALT）水平及谷草转氨酶（AST）水平之间也无统计学相关性。所有患者均无死亡。
在过去的四分之一个世纪里，肝损伤诊断和治疗方法的改变与生存率的提高相关。对于血流动力学稳定的肝外伤患者，非手术治疗似乎是金标准。
