Đối chiếu lâm sàng với phân loại độ chấn thương gan bằng CT Scanner năm 2011 tại bệnh viện Việt Đức

Objective: to compare clinical diagnosis and intervention decision with CT Scanner-based grades of liver injury. Study subject and methodology: 65 patients who were hospitalized in emergency at Viet Duc hospital were confirmed as liver rupture during 2011. Findings, discussion: average age: 28.6. Male/female ratio: 3.1/1. The leading cause was traffic accident (60 percent). The most common hepatic injury grades were grades Il, III, and IV (90.9 percent). Anemia condition at admission: anemia grade 1: 60 percent; grade 2: 20.0 percent; grade 3: 1.7 percent; grade 4: 0.4 percent. The signs that indicate liver injury were pain and subcostal scratches. Increased liver enzyme level was directly proportional to severity grade of liver injury. CT scanner is a ''gold standard" for liver injury confirmative diagnosis and grading. The most common injury was contusion of the liver parenchyma (59.3 percent),line of rupture (30.1 percent), which usually happened in the right lobe. Other concurrent injuries were chest injury (21.4 percent) and right kidney (14.5 percent). Successful conservative treatment rate reached up to 81.5 percent.