Neupane Harish Chandra, Tamrakar Kishor Kumar, Bhattrai Abhishek, Tamang Tseten Yonjen, Bista Bishnu, Chaulagain Rajib
Department of Surgery, Chitwan Medical College, Bharatpur, Chitwan, Nepal.
School of Nursing, Chitwan Medical College, Bharatpur, Chitwan, Nepal.
J Nepal Health Res Counc. 2020 Jan 21;17(4):537-542. doi: 10.33314/jnhrc.v17i4.1958.
The liver is most frequently injured solid organ in abdominal trauma. The non-operative management is the standard treatment for hemodynamically stable patients. This study analyse the epidemiological aspects, injury patterns, treatment modalities and outcome in patients with liver injuries only and associated injuries outside the liver.
This was a retrospective study in patients with liver injuries admitted from 1st March 2014 to 31st January 2019 at Chitwan Medical College and Hospital, Nepal. The patients were divided into two groups. Group A consisted of isolated liver injury and Group B liver injury with associated injury of other organs. Data were analysed by using descriptive statistics and Mann-Whitney U test.
A total of 61 patients were admitted with liver injury. There were 18 (29.5 %) patients with liver injury alone (group A) and 43 (70.5 %)liver injury associated with other organs (group B). Low grade liver injuries were 48 (78.7 %) and high grade 13 (21.3 %). The operative management was done for one liver injury with biliary peritonitis in group A. In group B, 16 patients required laparotomy and operative management for associated abdomen injuries.
Non-operative treatment modality in hemodynamically stable patients with isolated liver injuries was safe and effective.
肝脏是腹部创伤中最常受损的实体器官。非手术治疗是血流动力学稳定患者的标准治疗方法。本研究分析了仅患有肝损伤以及伴有肝外相关损伤患者的流行病学特征、损伤模式、治疗方式及预后。
这是一项对2014年3月1日至2019年1月31日在尼泊尔奇特旺医学院及医院收治的肝损伤患者进行的回顾性研究。患者被分为两组。A组为单纯性肝损伤，B组为伴有其他器官损伤的肝损伤。采用描述性统计和曼-惠特尼U检验进行数据分析。
共有61例患者因肝损伤入院。其中单纯性肝损伤患者18例（29.5%）（A组），伴有其他器官损伤的肝损伤患者43例（70.5%）（B组）。低级别肝损伤48例（78.7%），高级别肝损伤13例（21.3%）。A组有1例肝损伤合并胆汁性腹膜炎患者接受了手术治疗。B组有16例患者因腹部相关损伤需要剖腹手术及手术治疗。
对于血流动力学稳定的单纯性肝损伤患者，非手术治疗方式安全有效。
