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KMID : 0376119750020010031
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Medical Journal of the Red Cross Hospital
1975 Volume.2 No. 1 p.31 ~ p.38
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A Clinical Study of 23 Cases of Traumatic Liver Injury
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Abstract
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This study is a review and analysis of 23 cases of liver injury who were admitted and-treated in Dept. of General Surgery, Seoul Red Cross Hospital, from April, 1968 to July, 1974. The results -are as follows;
1. Male was out-numbered female by the ratio of 2. 8 : 1.
2. In regard to age distribution 2 cases (8.6%) were 1st. decade, 5 cases (21.7%) were 2nd. decade, 7 cases (30.3%) were 3rd and 4th decade, respectively, and 1 cases(4. 3%) was 5th and 6th. decade, respectively. The peak incidence was 3rd and 4th. decade.
3. Among 23 cases, 5 cases(21.7%) were penetrating injury, whereas 18 cases(78.3%) were non-penetrating injury. And the most common cause of accident was traffic accident(43.4%).
4. The most common site of injury was right lobe (68.8%). And the ratio of right to left was 5.3 :1.
5. In 12 cases (52.1%), only the liver was injured.
6. 11 cases (47.3%) were operated after 12 hours from injury.
7. The- most common symptom was abdominal pain (90.3%).
8. The operative procedures were as follows; Primary closure and drainage was performed in 12 cases (51.6%), hepatic artery legation in 4 cases (17.2%), laparotomy and drainage in 3 cases (12.9%), primary closure and gauze-packing, gel-form packing, debridement and drainage, omentopexy and T-tube drainage in 1 case (4.3%), respectively.
9. The most common post-operative complication was pneumonia in 3 cases (12.´9%).
10. Over all mortality rate was 12.9%, and the causes of death were hypovolemia(2 cases) and renal failure (1 case).
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