Analysis On Clinical Of Blunt Liver Injury In Children

Objective Children blunt liver injury related to clinical cases analyzed, summarizedthe status quo treatment of children with blunt liver injury, to provide clinical evidence andtheoretical reference for the diagnosis and treatment of children by blunt liver injury.Methods Retrospective analysis of Ningxia Medical University General Hospital fromApril2003to April2013children admitted to Children’s blunt liver injury clinical data.Measurement data were expressed as mean±standard deviation, t test for statistical analysis;count data constitute ratio.Results Analysis of Ningxia Medical University General Hospital from April2003toApril2013cases of children admitted to blunt liver injury in children: In all cases of liverinjury occurred in the incidence of liver injury Ⅰ highest level; whether light or heavyconservative liver damage treatment is relatively high; cause children to blunt liver injury isthe main reason for the accident; after injury to treatment time, age, gender no significanteffect on the non-surgical treatment and surgical treatment options.Conclusion Information in this group of patients: children blunt liver damage caused bythe most important reason for the accident; non-surgical treatment group compared with thesurgery group hospitalization, hospital takes obvious advantage; systolic blood pressure<94.81mmHg, heart rate>108.75times/Tip of hemodynamic status is unstable; class ⅰline non-surgical treatment; Ⅱ~ⅲ grade both non-surgical treatment of patients havesurgery, Ⅴ grade Ⅳ~All surgical treatment. Class Ⅱ~Ⅲ choice of treatment programsshould be based on pulse rate, systolic blood pressure, oxygen saturation, hemoglobin and hematocrit changes, B ultrasound and CT, abdominal peritonitis signs of change into account.For Ⅱ, Ⅲ grade patients, non-surgical group than in the surgery group length of stay, costof hospitalization obvious advantages, so in hemodynamic stability, maximize the use ofnon-surgical treatment. Non-surgical treatment group compared with the surgery grouphospitalization, hospital takes obvious advantage; this group of patients, Ⅰ grade liver injuryunderwent non-surgical treatment; Ⅱ~Ⅲ grade non-surgical treatment of liver injury inboth cases have surgery hemodynamic status is difficult to maintain a stable, laparotomy wasperformed major surgery indications, Ⅳ~Ⅴ grade surgical treatment of all liver damage,liver injury has not admitted suffering two ⅵ level. Class Ⅱ~Ⅲ choice of treatmentprograms should be based on pulse rate in children, systolic blood pressure, oxygen saturation,hemoglobin and hematocrit changes, B ultrasound and CT, abdominal peritonitis signs ofchange into account. For Ⅱ, Ⅲ grade patients, non-surgical group, inpatient hospital daysspent over the surgical group there are obvious advantages.