actabiomedicaActa Biomedica ScientificaActa Biomedica Scientifica2541-94202587-9596Scientific Centre for Family Health and Human Reproduction Problemsactabiomedica-1534Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНАCLINICAL MEDICINEУльтразвуковая диагностика последствий травматических повреждений печениUltrasound diagnostics of consequences of traumatic injuries of liverТюрюминаЕ. Э.TyuryuminaE. E.scrrs.irk@gmail.comЧижоваЕ. А.ChizhovaE. A.noemail@neicon.ruШантуровВ. А.ShanturovV. A.noemail@neicon.ruГумеровР. Р.GumerovR. R.noemail@neicon.ruФГБУ «Научный центр реконструктивной и восстановительной хирургии» СО РАМНRussian FederationГБУЗ Иркутская ордена «Знак Почета» областная клиническая больницаRussian Federation20132804201302(1)9094Copyright © Тюрюмина Е.Э., Чижова Е.А., Шантуров В.А., Гумеров Р.Р., 20132013Тюрюмина Е.Э., Чижова Е.А., Шантуров В.А., Гумеров Р.Р.Tyuryumina E.E., Chizhova E.A., Shanturov V.A., Gumerov R.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.actabiomedica.ru/jour/article/view/1534

Проанализированы результаты ультразвуковой диагностики последствий травматических повреждений печени у 122 пациентов. Контуры, структура и текстура внутрипеченочных образований зависели от вида тканевого субстрата (гематома, гемобилема, билема), сроков формирования и инфицированности травматического фокуса. При асептическом течении гематом и гемобилем печени мы. условно выделили 4 стадии патологического процесса: свежего кровоизлияния, сформированного сгустка, гемолитическую и репаративную. Отличия при инфицированном пути развития наступали со второй недели после возникновения внутрипеченочного повреждения на стадии «бактериального лизиса сгустка» и инкапсуляции. Ультразвуковая семиотика внутрипеченочных билем зависела только от. инфицированности. содержимого.

The results of ultrasound diagnostics of consequences of traumatic injuries of liver in 122 patients were analyzed. Contours, structure and. texture of intrahepatic formations depended on the type of tissue substrate (haematoma, haemobylema, bylema), terms of formation and infection of traumatic focus. At aseptic course of haematomas and haemobylemas of liver we divided pathological process into 4 stages: stage of latest hemorrhage, stage of formed clot, hemolytic stage and reparative stage. The differences at the infection way of development started from the second week after appearance of intrahepatic injury on the stage of "bacterial lysis of a clot" and. incapsulation. Ultrasound semiotics of intrahepatic bylemas depended only on the infection of contents.

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The authors declare that there are no conflicts of interest present.