MBT footwear Conservative treatment of blunt liver

43nike9485qt · Wysłany: Czw 0:04, 17 Mar 2011

Conservative treatment of blunt liver injury compared with surgical treatment (with 252 cases analysis)

Medical examination every 4-6h . Ambulatory blood pressure and oxygen saturation testing. Admission every 4-8h 24h measured in blood cell counts , hemoglobin , measured at any time if necessary ; ( 3) prophylactic broad-spectrum antibiotics ( third generation cephalosporins ,[link widoczny dla zalogowanych], such as drugs) and anti- Gram-negative bacteria drugs (such as tinidazole ); ( 4 ) If necessary, B can be repeated bedside ultrasonography ; (5 ) abnormal situation, an analysis of non- surgical treatment if the judge can not be solved . The need for timely surgery. Surgical treatment: for different types of injuries , the use of different surgical methods. Well prepared before surgery , to establish at least two fluid channels , one for the upper limb (if accompanied by the inferior vena cava tear , lower limb fluid will increase the liquid is exposed, not only can not add volume, also increases abdominal pressure ),[link widoczny dla zalogowanych], according to pre- Estimates of the disease for adequate blood volume . Laparotomy in the most effective way to find the shortest time possible bleeding location. Bleeding point directly to the hand pressure or liver rupture , effectively control the bleeding. Pringles can be used if necessary,[link widoczny dla zalogowanych], temporarily blocking the hepatic artery approach . If using the above method can not control the bleeding. Could also consider filling the liver weeks or hepatic artery ligation . Generally for small wounds , the most commonly used sutures to stop bleeding . The liver is often cut vascular suturing technique used . But when there is large liver laceration . Can be considered closed by omentum filling dead space and reduce postoperative complications. For serious liver damage, possible irregular local excision ,[link widoczny dla zalogowanych], or the rules of the resection in 7 ]. But for patients with liver cirrhosis , decompensated liver itself because of its function has been impaired , the rules should be used with caution resection , to prevent liver decompensation .
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