DIAGNOSTIC MONITORING OF TRAUMATIC LIVERIN JURIES

Summary. Goal. Develop tactics for diagnostic monitoring of traumatic liver injuries. Materials and methods of research.The study is based on an analysis of 56 victims with liver damage. A set of studies, including clinical, laboratory, and instrumental methods, was used to examine victims with abdominal injuries. Research results and their discussion.The tactics of treatment for patients were primarily determined by the results of ultrasound and CT scans. Diagnostic monitoring was carried out in several stages: the first immediately after hospitalization in the admission department or intensive care unit, then, as is, taking into account the data found during the initial examination. The decision to choose conservative tactics was made within the first 3 hours after admission to the clinic. In the future, the patient’s management tactics will be determined depending on the severity of his condition, volume of hydroperitoneum, the intensity of blood loss, and hemodynamic parameters. In the case of hematomas of the liver, in the absence of signs of hydroperitoneum and stable hemodynamics, conservative therapy was performed with dynamic instrumental control over the condition of the hematoma. Conclusions. Predicting the outcome of liver damage largely depends on the correct choice of methods of instrumental diagnosis and consistency in the analysis of information obtained from dynamic monitoring. This makes it possible to predict the severity of the condition and tactics of the patient, expanding the indications for conservative therapy. Conservative tactics are allowed only with repeated instrumental monitoring.