Blunt abdominal trauma in Pozega County Hospital 1994-2003
Aims: Analysis of diagnostic and therapeutic methods of blunt abdominal trauma in period from 1994 to 2003 How to improve our results? Materials and methods: Ten year retrospective analysis of blunt abdominal trauma that required surgery. We analysed mechanism of injury, time between injury and operation and diagnostic procedures. Abbreviated Injury Scale (AIS) assessed the severity of dominant injury and Injury Severity Scale (ISS) assessed total damage. Abdominal organ trauma (spleen, liver and intestine) was assessed by OIS (ASST 1989 − revised in 1994). Results: In period between 1994 and 2003 68 patients were operated due to blunt abdominal trauma with average age of 43.7 (range of 5 to 91) years. There were 56 (82.3%) men and 12 (17.7%) women. Causes of trauma were: traffic accident, falling, agricultural accidents, fight and other. Diagnostic procedures we used were CT scan, peritoneal lavage, abdominal ultrasound and laparoscopic exploration with various sensitivity. Average ISS sore was 19.6, average hospitalization time was 12.9 (0−85) days. After surgery complications were fistula between urinary bladder and skin, duodenal fistula, pneumonia, urinary infection and stroke. 9 patients died. Conclusion: In spite modern diagnostic methods, blunt abdominal trauma still represents major diagnostic and therapeutic problem. The reason for that lies in fact that usually there is more than one organic system injured. Fast diagnosis is key for good outcomes of blunt abdominal trauma.
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