Analysis of 25 cases of rebleeding after surgicaltreatment of major hepatic trauma

【Objective】 To investigate the causes of the rebleeding after the operation of major hepatic trauma.【Method】 To analyse retrospectively what we have seen in the second operation and the outcome of the conserva-tive treatment in the 25 cases rebleeding after the operation of 97cases severe liver injuries from January 1985 toNovember 2004.【Result】According to the AAST Gading of Liver Injuries, gradeⅢ 12 cases, gradeⅣ8cases, gradeⅤ 5 cases, the accumulative total bleeding volume after first operation was 800～2 700 mL, average 1500 mL. sec-ond operation were performed in 19 cases, 5 cases died; 6cases were undergone conservative treatment, 2 cases died(3 cases of hemorrhagic shock, 3 cases of combined wound and multiple organs failure, 1 cases of ARDS caused bysevere infection). 【Conclusion】 There were several causes for the rebleeding after the operation of major hepatictrauma, but the most common causes we have seen were improper intraoperative and postoperative management.