Chianakwana Gu, Umeh Ku, Chianakwana Jo
Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Accident & Emergency Department Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
J West Afr Coll Surg. 2011 Apr;1(2):38-49.
All over the world, liver trauma occurs as a result of blunt or penetrating abdominal injury.
To review the management, morbidity and mortality of liver trauma in our resource-deprived centre, and to see how we can improve these outcomes, our poor facilities notwithstanding.
This is a descriptive epidemiology.
Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Patients who were treated for liver trauma in our centre between 2004 and 2010 were reviewed for aetiology of injury, management, morbidity and mortality.
Of the 162 patients who were treated for liver trauma during the period, only 156 patients were recruited into the study. One hundred and nineteen (119) were males and 37 were females. Majority were blunt injuries while others were penetrating injuries. The blunt injuries were usually solitary, affecting only the liver whereas the penetrating injuries occasionally involved both the liver and some other organ(s). The commonest cause of blunt injuries was road traffic accident followed by fall from height. The commonest cause of penetrating injury was gunshot wound, followed by stab wound.
Morbidity and mortality following liver trauma can be reduced by applying prompt and appropriate management modalities within the ambit of available resources. However, outcome will improve if adequate facilities are available.
在世界各地，肝外伤是由钝性或穿透性腹部损伤所致。
回顾我们资源匮乏中心肝外伤的治疗、发病率和死亡率，并探讨尽管我们设施简陋，但如何能改善这些结果。
这是一项描述性流行病学研究。
尼日利亚纽维的纳姆迪·阿齐克韦大学教学医院。
对2004年至2010年期间在我们中心接受肝外伤治疗的患者的损伤病因、治疗、发病率和死亡率进行回顾。
在此期间接受肝外伤治疗的162例患者中，仅有l56例纳入本研究。其中男性119例，女性37例。多数为钝性损伤，其他为穿透性损伤。钝性损伤通常为单发，仅累及肝脏，而穿透性损伤偶尔会同时累及肝脏和其他一些器官。钝性损伤最常见的原因是道路交通事故，其次是高处坠落。穿透性损伤最常见的原因是枪伤，其次是刺伤。
在现有资源范围内采用及时且恰当的治疗方式可降低肝外伤后的发病率和死亡率。然而，如果有足够的设施，结果将会改善。
