Hepatic injury complications
The most common complications of Hepatic injury (liver injury) is infection, and biliary fistula, secondary hemorrhage and acute liver failure.
1. infectious complications: liver abscess, subphrenic abscess and wound infection. Complete removal of the liver tissue will lose its vitality and pollutants, proper hemostasis, and reliable and efficient placement of the drainage is an effective measure to prevent infection. Once the abscess formation, drainage should be timely.
2. bile leakage on surface of wound liver: bile peritonitis may be caused by intra-abdominal abscess or limitations, but also a more serious complications. Bile leakage prevention method is to carefully ligation surgery or fracture the size of bile duct ligation and drainage tube placement. Bile leakage occurred after the placement in the common bile duct T tube drainage, which reduces the pressure to promote healing within the biliary tract.
3. secondary hemorrhage: wound more than because of improper handling, or have dead space and the secondary infection of necrotic tissue, blood vessel ligation diabrosis or re-bleeding. Large amount of bleeding, the need to re-operation to stop bleeding and to improve drainage.
4. barriers to acute liver and kidney function: is a very serious and intractable complications, poor prognosis. And more complex secondary to severe liver damage, a large number of hemorrhagic shock after a long time, blocking blood flow to the liver for too long, such as severe abdominal infection. Therefore, in time to correct shock and attention to blocking blood flow to the liver time to correctly handle the liver wound, shunt placement and effective to prevent infection is to prevent multi-organ failure such an important measure is the multiple organ failure on the best treatment.
