VIETNAM NATIONAL UNIVERSITY, HANOI
UNIVERSITY OF MEDICINE AND PHARMACY
STUDENT’S NAME: TIEN DAT NGUYEN
CLINICAL AND
PARACLINICAL FEATURES OF
LIVER INJURY IN PATIENTS
RECEIVING CONSERVATIVE
TREATMENT AT VIET DUC
HOSPITAL IN 2022
UNIVERSITY GRADUATION DISSERTATION
GENERAL MEDICINE
Ha Noi – 2023
VIETNAM NATIONAL UNIVERSITY, HANOI
UNIVERSITY OF MEDICINE AND PHARMACY
STUDENT’S NAME: TIEN DAT NGUYEN
CLINICAL AND
PARACLINICAL FEATURES OF
LIVER INJURY IN PATIENTS
RECEIVING CONSERVATIVE
TREATMENT AT VIET DUC
HOSPITAL IN 2022
UNIVERSITY GRADUATION DISSERTATION
Course: QH. 2017.Y – GENERAL MEDICINE
Supervisor: PHD. MD. TRONG HIEN DUONG
Ha Noi – 2023
ACKNOWLEDGEMENT
I would like to express my deep gratitude to:
PHD. MD. TRONG HIEN DUONG
The teacher has dedicatedly helped and guided me from the first days of
studying at the University of Medicine and Pharmacy, Viet Nam National University,
Ha Noi to this day and guided me to complete the thesis.
I sincerely thank:
The instructors and faculty of the University of Medicine and Pharmacy, Viet
Nam National University, Ha Noi, have imparted, taught and oriented me in the
process of studying and researching as well as helped me and gave me many valuable
ideas for me to complete my thesis.
I would like to express my sincere thanks to all the doctors and staffs of the
Emergency abdominal surgery Department and Emergency Department, and all the
doctors of Viet Duc Hospital for helping me a lot during my study, research and
collaboration for me to complete my thesis.
I sincerely thank:
Party Committee, administrators of University of Medicine and Pharmacy,
Vietnam National University, Hanoi
Party Committee, administrators of Viet Duc Hospital
Training Department, University of Medicine and Pharmacy, Vietnam
National University, Hanoi
Foreign Affairs Department, University of Medicine and Pharmacy, Vietnam
National University, Hanoi
Emergency abdominal surgery Department, Viet Duc Hospital
Emergency Department, Viet Duc Hospital
Helped me in my studies and research.
I would like to express my deep gratitude and love to my family who have
encouraged, shared and accompanied me along the way.
Author
NGUYỄN TIẾN ĐẠT
1
TABLE OF CONTENTS
ACKNOWLEDGEMENT ............................................................................... 1
LIST OF FIGURES .......................................................................................... 4
LIST OF TABLES ........................................................................................... 5
LIST OF ABBREVIATIONS .......................................................................... 6
INTRODUCTION ............................................................................................ 1
CHAPTER 1: OVERVIEW ............................................................................. 3
1.1 Regional anatomy of the liver .............................................................. 3
1.1.1 Anatomical features .................................................................... 3
1.1.2 Structures of holding the liver in place ....................................... 4
1.1.3 Liver hilum .................................................................................. 5
1.1.4 Liver segments ............................................................................ 7
1.2 Mechanism of injury ............................................................................. 8
1.3 Diagnosis of liver injury ....................................................................... 9
1.3.1 Clinical ........................................................................................ 9
1.3.2 Paraclinical tests ........................................................................ 10
1.3.3 Diagnostic imaging ................................................................... 11
1.4 Non-operative conservative treatment ................................................ 16
1.4.1 Research situation in the world and in Viet Nam ..................... 16
1.4.2 Indications and methods............................................................ 18
1.4.3 Diagnosis and treatment of liver injury .................................... 19
1.4.4 Discharge requirements ............................................................. 23
CHAPTER 2: RESEARCH SUBJECTS AND METHODOLOGY ............. 24
2.1 Research subjects ................................................................................ 24
2.1.1 Selection criteria ....................................................................... 24
2.1.2 Exclusion criteria ...................................................................... 24
2.2 Time and place of the study ................................................................ 25