Multiple trauma with blunt abdominal trauma in intensive care.doc

 PAGE \* MERGEFORMAT 7 Multiple trauma with blunt abdominal trauma in intensive care Of: Huang Jian, Yang Group, Zhou Jian, Hasan wood [Abstract] retrospectively analyzed and summarized 56 cases of patients with blunt abdominal trauma treatment experience and outcome monitoring. The main complications in these patients, including hemorrhagic shock, sepsis, abdominal compartment syndrome (ACS, multiple organ dysfunction syndrome (MODS and so on. The patients were 6 deaths (8.82%, cause of death was cerebral hernia formation, and severe hemorrhagic shock and MODS. [Keywords:] multiple trauma, abdominal injuries, care, treatment Patients with multiple trauma injuries complicated part of the combination in patients with blunt abdominal trauma, to determine whether the damage to internal organs or the extent of the damage is sometimes more difficult. The author summarizes our hospital from 2003 to 2007, 56 patients admitted to ICU with multiple injuries combined care of patients with blunt abdominal trauma treatment experience, are as follows. Clinical data 1 General Information 56 cases of 39 patients were male and 17 females, aged 15 to 66 years, an average of 39.51 years. The causes of injury: 32 cases of road traffic injury, fall injury in 10 cases, 8 cases of crush injury, the other 6 cases. Craniocerebral injury 6 cases, spinal fractures and 10 cases of spinal cord injury, rib fractures and pulmonary contusion in 12 cases, 10 cases of pelvic fractures, limb fractures in 14 cases, 5 cases of kidney and urethral injury. abdominal organ injury: 33 cases of spleen, liver in 19 cases, pancreatic 5 cases, 15 cases of stomach and duodenum, small intestine and mesentery in 24 cases, colon and rectum in 25 cases, 9 cases of retroperitoneal hematoma. ISS score of 22 to 56 minutes, an average of 33.40 points. by history, clinical manifestations, abdominal puncture or lavage, bedside ultrasound and X-B, CT, laparotomy confirmed. 2 Care Treatment