J Korean Soc Traumatol Search

CLOSE


Journal of the Korean Society of Traumatology 2007;20(2):125-129.
Clinical Analysis on Patients with Traumatic Liver Injury
Hong Man Yoon, Yoo Seok Yoon, Sang Hyun Shin, Jai Young Cho, Do Joong Park, Hyung Ho Kim, Ho Seong Han
Department of Surgery, Medical College of Seoul National University, Korea. hanhs@snubh.org
외상성 간 손상환자의 분석
윤홍만·윤유석·신상현·조재영·박도중·김형호·한호성
서울대학교 의과대학 외과학교실
Abstract
PURPOSE
The liver is one of the most commonly injured organs in abdominal trauma. Surgery has played a major role in treating traumatic liver injury. Recently, it was reported that conservative treatment could be the first-line management for hemodynamically stable patients without combined intraabdominal surgical problems. The aim of this study was to examine the prognostic factors in traumatic liver injury.
METHODS
The medical records of 41 patients who were treated for traumatic liver injury at Seoul National University Bundang Hospital from March 2003 to October 2007 were retrospectively reviewed.
RESULTS
Among the 41 patients, 34 cases (82.9%) were managed nonsurgically, and 7 cases (17.1%) were managed surgically. Out of the 5 (12.2%) mortalities, 2 were encountered in those who underwent surgery, and 3 were encountered in those who were treated nonsurgically. Univariate analysis showed that the initial systolic blood pressure, the initial hemoglobin level, and the grade of liver injury were significant prognostic factors for survival. Multivariate analysis indicated that initial low systolic blood pressure was the only independent risk factor.
CONCLUSION
Patients with unstable vital signs initially have a poor prognosis. Aggressive management might be helpful for improving the survival rate in these patients.
Key Words: Liver trauma; Prognostic factor; Outcome; Surgery


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
Department of Trauma Surgery, Gachon University Gil Medical Center
783 Namdong-daero, Namdong-gu, Incheon 21556, Korea
Tel: +82-10-5552-2653    Fax: +82-70-8677-6333    E-mail: office@jtraumainj.org                

Copyright © 2020 by The Korean Society of Traumatology. All rights reserved.

Developed in M2community

Close layer
prev next