liver Trauma

Abstract

99 Blunt and penetrating liver injuries are revieced (87.8 % of these being male) with an average age of 23.9 years. The time gap between the monent of injury to addmission was an average of 5.9 hours. The commonest cause of liver injuires was shot-gun wounds (of these 44 % were male). 67.6 % showed complicated lesions while right lobe injuries constituted 63.6 percent. Free blood in the peritoneal ca vity averaged 1500 mls. Primary suturing and drainage techniqes was employed to achieve haemostasis in the 95.9 % of the total casse. Mortality rate of this method was found to be 13.6 % with an overall complication rate of 44.2 percent. No mortality was seen in the simple liver laceretion cases. The overall moltalíty rate was 22.3 Most common cause of mortality was bleeding covering 50 % of the cases.

Keywords

• penetrating
• haemostasis
• Mortality

Karaciğer Traumaları

Abstract

Bu çallsmada incelenen 99 çesitli tipte karacižer yaralanmasmm % 87,8 i erkek, yas ortalamasl 23,9 Yll, kliniže gelinceye kadar geçen ortalama zaman 5,9 saattir. En çok rastlanan etken ate;li silahlardlr ( % 44,4). Komplike lezyonlarl % 67,6 dlr, % 63,6 oranmda sag lob yaralanrmstlr, peritonda bulunan serbest kan miktarl ortalama 1500 cc. dir. Tedavide % 95,9 oranmda dikis + drenaj uygu1anm1St1r; bu yöntemin mortalitesi % 13,6 dlr. Toplam komplikasyon oram % 44,4 dür. Basit karaciäer yaralanmalarmda ölüm yoktur, toplam mortalite % 22,3, en önemli mortalite etkeni kanamadlr ( % 50)

Keywords

• penetrating
• haemostasis
• Mortality

References

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