[Nonoperative treatment for simple hepatic injury: an analysis of 77 cases]

In this study, 77 of 82 hepatic injury cases were selected for conservative therapy. The hepatic injuries in all these 77 cases were originally graded as type I or Type II by reviewing the history of trauma, abdominal paracentesis, B-mode ultrasonography, peritoneoscopy, X-ray pneumoperitoneography, and serum GPT measurement. Patients were all resuscitated by fast volume expansion, blood transfusion recovered from intraabdominal bleeding, nasogastric tube decompression added by chinese herbs. Three patients died of compound internal organ injuries, respiratory failure and DIC, the remaining 74 (96.1%) were cured.