Clinical analysis of gauze packing oppression in 18 cases of patients with severe liver injury of

Abstract

Objective To investigate the effects of application of gauze packing oppression in severe liver trauma therapy. Methods Clinical data of gauze packing oppression treated 18 patients with severe liver laceration were retrospectively analysized, with gauze packing oppression, postoperative hemostatic, antibiotic therapy and nutritional support, a t 5-7 d began plucking gauze, 12-14 d after pulling, no bleeding wounds gradually healed. Results 17 cases were cured, 1 died, the cure rate of 95%, the cause of death as multiple injuries caused by the merger of multiple organ failure; postoperative pull gauze(or bandage) again bleeding in 6 cases, 2 cases of secondary hemorrhage, the drug was difficult to control again laparotomy to stop bleeding; after 4 cases of subphrenic effusion, infection, complicated with biliary fistula in 5 cases, liver abscess in 2 cases, 3 cases of abdominal infection, wound infection in 3 cases. Conclusion For patients with severe liver rupture gauze packing to stop bleeding is still simple and effective ways to deal under an emergency situation for the hospital, both a method of treatment, but also packing oppression to stop bleeding temporarily for processing and then sent to a higher level hospital completely win time, can effectively reduce the mortality and reduce complications. Key words: Rupture of liver; Surgical sponges; Endotamponade; Surgical procedures, operative