The correlation between the mechanism of injury and intraabdominal injuries in Blunt Abdominal Trauma
| Main Author: | Agron Dogjani |
|---|---|
| Format: | info Proceeding Journal |
| Bahasa: | sqi |
| Terbitan: |
, 2014
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/5484395 |
Daftar Isi:
- Knowledge of the mechanism of injury of BAT is very important in predicting potential intraabdominal injury. It is now known that in many cases of liver, spleen, and kidney injury... which can be associated with significant bleeding in the early stages after trauma and in a part of cases after starting therapy the patients are treated without operation. An understanding of the mechanism of injury associated with a logical performance for initial, secondary, and tertiary assessment, which are related to the management of traumatized patients and contribute to reducing mortality and morbidity. The alteration from routine techniques in managing non- operator selective intraabdominal organ injuries in BAT now is not innovation. One of the most notable trends in the care of traumatized patients during the last two decades is the use of Damage Control Surgery (DCS) which has revolutionized both in concepts and results. In our study the most damaging solid organ is the liver (52%), while the most damaging cavitary organ is the intestine, in the most part they are combined with one or several damaged organs and associated with extra-abdominal injuries. This difference is inevitably linked to the mechanism of injury, which would become quite evident in this study. Purpose The evidence of the incidence of intraabdominal injury in BAT to report this to the mechanism of injury, Material and methods The study is retrospective and done within the time period December 2011 to December 2013. In our study included 257 patients who were submitted to the SUT QKT Tirana. After the usual epidemiological data analysis of the data was done in numerical and percentage value divided into three groups according to the mechanism of injury, while not neglecting the use of formulas for calculating the gravity of the injury. All data are depending on the time of presentation to the hospital after trauma and hemodynamic status and is compared with the tactics of treatment that were followed. After all routine examinations were made of all additional examinations depending on the situation as; US, LPD, CT-scanner (if is possible) is made that in cases with neurological changes in TCC with hypotension. In cases of hematuria and suspected ureter injury, we performed pyelography or cystography...