J.Jpn. Surg. Soc.. 59(13): 2032-2047, 1959

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BIOPSIES OF THE LIVER AFTER TRAUMA

This is the report of successive liver biopsies of the subjects who had trauma of the head, injuries in the chest and abdomen, injuries in the extremities and burn.
We tried to find parenchymatous damages, circulatory disturbance and volume of the glycogen in the liver from pathohistological and histochemical findings.
1) They have certain relation between the degree of injuries, and parenchymatous damages, circulatory disturbance and decrease of glycogen storage regardless to the kids of injuries. When patients died of trauma, I could find the severe degree of above mentioned damages from the quite beginning of the course.
2) There are many cases in which I found high degree of the parenchymatous damage and circulatory disturbance which lasted for a long time without any improvement in the beginning of the course of the IIIrd type of the head injuries of Prof. Araki's classification and burns cases.
3) These are parallel relation between the dilatation of sinusoids and parenchymatous damages.
4) The decrease of the liver glycogen which had parallel relation with the degree of injuries was improved, then went back to normal level when the clinical symptoms improve In deceased cases, it contiuned to decrease promptly.
(author's abstract)

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