Ct is also useful in the assessment of delayed complications in blunt liver trauma, including delayed hemorrhage, hepatic or perihepatic abscess, posttraumatic pseudoaneurysm and hemobilia, and biliary complications such as biloma and bile peritonitis. Summary evaluation of abdominal blunt trauma patients is one of the greatest challenges in emergency practice. Development in the diagnosis and management of liver trauma was followed in recent years by decline in mortality, which is. Fractures and luxations of permanent teeth section 2. Liver trauma abstract the liver is the largest organ in the abdomen, that makes it highly vulnerable in blunt and penetrating abdominal trauma. An observational, descriptive and retrospective study was performed on patients with hepatic trauma admitted to our department from january 2006 to march 2010. Liver is a solid organ with the highest injury rate in abdominal injury. Jefe servicio terapia intensiva pediatrica hospital. To assess the prevalence and epidemiological characteristics of hepatic trauma in victims referred to the forensic department of palmas, state of tocantins to, brazil. Issuu is a digital publishing platform that makes it simple to publish magazines, catalogs, newspapers, books, and more online. Este artigo apresenta a classificacao do trauma hepatico recomendado pela sociedade. Incidence of liver trauma and relative risk factors for mortality. Download as pptx, pdf, txt or read online from scribd. If you continue browsing the site, you agree to the use of cookies on this website.
A retrospective crosssectional study was performed with all the victims referred to the forensic department of palmas from january 2006 to december 2010, to investigate violent deaths with severe damage to the. A retrospective crosssectional study was performed with all the victims referred to the forensic department of palmas from january 2006 to december 2010, to. Jan 23, 2015 issuu is a digital publishing platform that makes it simple to publish magazines, catalogs, newspapers, books, and more online. Mortality and graft loss rates at 90 days were set as primary and secondary outcome measures, respectively.
Eastern association for the surgery of trauma clinical guidelines 2012. Motor vehicle accidents are the most common etiology for. Wses classification and guidelines for liver trauma world. The liver is the most commonly injured intraabdominal organ in trauma patients. Nonsurgical management after blunt traumatic liver. O figado e o orgao mais afetado por traumatismos toracicos penetrantes, e o segundo. Development in the diagnosis and management of liver trauma was followed in recent years by decline in mortality, which is attributable to improved diagnostic methods. Corresponden a lesiones penetrantes 80 % y 20 %, a trauma cerrado. Perihepatic packing and suturing were the most common procedures performed. During the study period 117 patients presented with blunt liver trauma. Hepatico yuranis daz lopera medico en formacin vii sem. The anatomic location and the size of the liver make the organ even more susceptible to trauma and frequently in penetrating injuries. Introduction hepatic trauma occurs in approximately 5% of all admissions in emergency rooms1.
We perform the initial resuscitation, diagnostic evaluation, and management of the trauma patient with blunt or penetrating trauma based upon protocols from the advanced trauma life support atls program, established by the american college of surgeons committee on trauma. Apr 05, 2010 descripcion del diagnostico y tratamiento del trauma hepatico, y su clasificacion. Resultsmortality and graft loss rates at 90 days were 42. The transplant can be done, in this context, performing onestage procedure damaged organ removed with immediate transplantation, used in 72% of cases. Treatment strategy for hepatic trauma pubmed central pmc. Manejo del trauma hepatico mas empaquetamiento con.
Posible rotura diferida en traumatismos toracoabdominales izquierdos. Easily share your publications and get them in front of issuus. Thus the management of liver trauma is ultimately based on the anatomy of the injury and the physiology of the. Ct in blunt liver trauma, radiografics, 2005 trauma. Wses classification and guidelines for liver trauma. Were identified 46 cases undergoing liver transplant after liver trauma. Perfil hepatico su interpretacion racional oscar paez rodriguez profesor universidad del norte. The severity of liver injuries has been universally classified according to the american association for the surgery of trauma aast grading scale. The injury is caused more frequently in penetrating trauma than in blunt trauma. Trauma hepatico anatomia vscera ms grande del organismo 1500 g l. These guidelines are intended to provide information for health care providers caring for. Descripcion del diagnostico y tratamiento del trauma hepatico, y su clasificacion. Nonsurgical management after blunt traumatic liver injuries. O tno foi realizado em 25,7% dos pacientes com trauma hepatico contuso.
In determining the optimal treatment strategy, however, the haemodynamic status and associated injuries should be considered. Oct 10, 2016 the severity of liver injuries has been universally classified according to the american association for the surgery of trauma aast grading scale. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Incidence of liver trauma and relative risk factors for. Scribd is the worlds largest social reading and publishing site. The management depends on the clinical status of the patient. Thus the management of liver trauma is ultimately based on the anatomy of the injury and the physiology of the patient. Hepatic injury takes the third place in abdominal injury and 80%90% of hepatic injuries are blunt ones. A populationbased study lichien chien, sushun lo, shihyu yeh department of surgery, national yangming medical university hospital, ilan, taiwan, roc received september 3, 2012. Summary the blunt abdominal trauma, responsible for most abdominal injuries resulting from trauma, can manifest clinically in many ways.
449 1364 1113 1378 100 242 790 667 5 1610 1499 1461 907 1075 768 222 4 791 1643 1383 844 1123 272 81 1383 511 569 71 596 739 323 261 360 1040 746 822 818