Blunt abdominal injury in 86 cases.docVIP

 PAGE \* MERGEFORMAT 9 Blunt abdominal injury in 86 cases [Keywords:] blunt abdominal visceral injury; diagnosis and treatment; complications Blunt abdominal trauma is a common general surgical emergency, due to blunt abdominal injury without open wound, to determine whether there is a certain visceral injury difficult to bring to the choice of treatment difficult. In our hospital from January 2005 ~ December 2008 a total of treated 86 cases of blunt abdominal trauma, diagnosis and treatment of the report now follows. Clinical data 1. General information men in this group 66 patients and 20 female, aged 10 to 75 years, mean 45.4 years old. The causes of injury: road accident in 32 cases, 25 cases of impact injury, crush injury in 10 cases, nine cases of falling from height injury Other injuries in 10 cases. injury 30 minutes from admission to 36 hours. Clinical manifestations: 86 patients with varying degrees of abdominal pain, admitted to hospital with shock in 29 cases, 38 patients with typical signs of peritonitis. associated injuries: thoracic injuries, 5 cases 4 cases of rib fractures, fractures in 6 cases, 4 cases of pelvic fractures, other injuries in 12 cases. 2. Of diagnosis all patients underwent preoperative chest X ray and abdominal B-ultrasound, X ray found 15 cases of free gas below the diaphragm in 18 patients found to have intestinal fluid level or the product gas; abdominal B-found in 20 cases of liver rupture , 25 cases of splenic rupture; which also had liver, spleen injury, 58 cases of intra-abdominal fluid. There were 62 cases of diagnostic paracentesis, blood was drawn in 53 cases, 24 cases due to consider a peritonitis, intestinal obstruction without abdominal wear. 3. Treatment and Results In this group, 16 patients admitted to hospital because of abdominal symptoms and signs when the light, no signs of peritonitis, vital signs normal, choose conservative treatment, 14 patients were cured, 2 cases of the disease during