Hepatic injury symptoms
Clinical manifestations of Hepatic injury (Liver injury) is mainly intra-abdominal bleeding and blood and bile-induced peritoneal irritation sign. According to the type and severity of injury vary, hepatic injury symptoms as follow:
1. true liver laceration:
Minor Hepatic injuries and less bleeding from the only, abdominal signs are also lighter. Serious injury due to excessive bleeding and shock. Patients with pale, cold limbs, a cold sweat, rapid pulse of fine, and then decreased blood pressure. Such as fracture combined bile duct, the bile and blood to stimulate the peritoneum, causing abdominal pain, muscle tension, tenderness and anti-throbbing. Sometimes gall Khan hiccup appeared to stimulate the diaphragm and shoulder pain involved.
2. subcapsular liver laceration:
Most have a subcapsular hematoma. If not serious injured, have atypical clinical manifestations, only the liver or right upper quadrant pain, right upper quadrant tenderness, liver pain, sometimes palpable tender liver. No obvious hemorrhagic shock and peritoneal irritation. If secondary infection is the formation of abscess. Because of continued bleeding, subcapsular hematoma gradually increased, tension increased by a few hours or a few days to break down, can occur many true liver laceration symptoms and signs.
3. the central liver laceration:
Hematoma formation in deep, not the typical symptoms. Such as intrahepatic bile duct injury at the same time, blood flow of bile duct and duodenum, showed paroxysmal Biliary Colic and upper gastrointestinal bleeding.