<原著>当救命救急センターにおける鈍的肝損傷症例の検討

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The 27 patients who had blunt hepatic injuries consisted of 22 males and 5 females. Fifteen of the patients required surgical treatments. The injuries were mostly due to traffic accidents. Clinical signs and symptoms of the traumatic shock, the physical examination, the computed tomography (CT) and laboratory data were compared between the operated group (15 patients) and the non-operated group (12 patients). First of all, every operated one had the signs and symptoms of the traumatic shock and Blumberg's sign before the emergency operation. All of the 27 patients were performed the CT, and its findings were classified into 5 types (subcapsular hematoma, contusion, laceration, fracture and unidentified types). The patients of subcapsular hematoma type (3 patients) required no surgical operations. Those of contusion type (4 patients) or laceration type (8 patients) without continuous shock and Blumberg's sign were treated conservatively. On the other hand, all the cases of fracture type (5 patients) had continuously clinical signs and symptoms of the shock and Blumberg's sign, and they underwent emergency operations because of the continuous active bleeding. In emergency laboratory data, total bilirubin levels were always in the normal range. Serum transaminases were registered as more than 600 U/l in death cases (3 patients), but there was little difference between the operated group and the non-operated group. On the other hand, on base excess, the levels were in the normal range in the non-operated group, but they were almost inclined to become acidosis in the operated group.
近畿大学の論文
1988-12-25

<原著>当救命救急センターにおける鈍的肝損傷症例の検討

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