Abstract
：Objective To discuss theclinical application of damage control (DC)in the treatment of severe liver trauma.Methods A retrospective study was done to analyze the clinical data of 28patients withsevere liver trauma ( Ⅲ-Ⅵ degree)who had the complications of hemodynamic instability,hypothermia, metabolic acidosis andblood coagulation disturbance and were treated with DC from April 2003 to April 2010 tosum up the operation indication, complications and mortality rate of DC. Results Of allthe patients, 16 patients were cured and four died, with cure rate of 80% and mortalityrate of 20%. Ten patients (50%) had complications after operation. Conclusions For thepatients with severe liver trauma, DC is a safe and reliable operation method and caneffectively lower complications and mortality rate when there appear hemodynamicinstability, hypothermia, metabolic acidosis and blood coagulation disturbancecomplications. Key words: Multiple trauma; Liver; Damage control
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