Liver traumatic rupture: an analysis of the risk factors for prognosis  DONG Zhi-tao, LUO Kun-lun, FANG Zheng, et al. Department of Hepatobiliary Surgery, the 101th Hospital of PLA, Wuxi 214044, China
Corresponding author: LUO Kun-lun, E-mail：lkl197041@yahoo.com.cn
Abstract    Objective    To analyze the risk factors for prognosis in liver traumatic rupture. Methods    The clinical data of 118 patients with liver traumatic rupture admitted between June 2005 and June 2010 in the 101th Hospital of PLA were analyzed retrospectively. Statistical analysis was performed univariate analysis and multivariate logistic regression．Results Complications  occured in 43 patients with the overall incidence of 36.4%. Ten patients died with the mortality of 8.5%. Results    of univariate analysis indicated：SBP (systolic blood pressure), PR（pulse rate）, time on admission, injury grade by AAST (American Association Surgery of Trauma)，the volume of blood loss are significant factors that influence the complication incidence for liver traumatic rupture (P<0.05). Multivariate logistic regression indicated：SBP, the volume of blood loss, time on admission and injury grade were independent predictors for prognosis in liver traumatic rupture. Conclusion    It should pay attention to all the factors that influence the prognosis in liver traumatic rupture in clinical work．Exact judgement and appropriate treatment plan are helpful to increase achievement ratio of liver traumatic rupture.