Diagnosis and treatment of hepatic trauma:a report of 31 cases

Objective: To summarize the experience in diagnosis and treatment of hepatic trauma. Methods: The data of 31 cases of liver trauma were analyzed retrospectively. Twenty-nine cases were managed by surgical therapy and 2 by non-surgical therapy. Results: Twenty-nine cases were immediately diagnosed by diagnostic peritoneal paracentesis. One died and 30 were cured. After the operation, hemobilia ocurred in 1 case,stress ulcer in 1 case,liver abscess in 1 case and diaphragm infection in 1 case. Conclusions: Image examination combined with diagnostic peritoneal paracentesis are important means for diagnosis of hepatic trauma. The choice of therapy patterns depends on the type and stage of the hepatic trauma.