ΚΛΙΝΙΚΗ ΜΕΛΕΤΗ ΤΩΝ ΚΛΕΙΣΤΩΝ ΤΡΑΥΜΑΤΙΚΩΝ ΕΝΔΟΚΟΙΛΙΑΚΩΝ ΚΑΚΩΣΕΩΝ

THE PRESENT STUDY WAS BASED ON THE CLINICAL EXPERIENCE OF 431 BLUNT ABDOMINAL INJURIES BEING TREATED FOR 92 MONTHS IN THE SURGICAL DEPARTMENT OF IOANNINA UNIVERSITY MEDICAL SCHOOL (2,9% OF TOTAL ADMISSIONS). TRAFFIC ACCIDENTS ACCOUNTED FOR 71,6%. THE AVERAGE TIME OF TRANSPORTATION WAS 6 HOURS FOR VICTEMS WITH CONSERVATIVE MANAGEMENT (N 353) AND 4 HOURS AND 30 MIN FOR THE OPERATED PATIENTS (N 71). IN 61 CASES ABDOMINAL PARACENTESIS WAS ADEQUATE IN 50, WHILE IN 40 DIAGNOSTIC PERITONEAL LAVAGE WAS POSITIVE IN 24 AND CONTRIBUTED DECISIVELY IN THE DECREASE OF THE TIME: FIRST CLINICAL EXAMINATION-EXPLORATORY LAPAROTOMY 3 1/2 TIMES. EXPLORATORY LAPAROTOMY PERFORMED IN 71 CASES (16,5%), 55 CASES (77,5%) HAD MULTIPLE INJURIES AND 48 (67,6%) HAD ESTABLISHED SHOCK. THE INJURIES OF INTRAABDOMINAL ORGANS FOUND AT EXPLORATORY LAPAROTOMY WERE: RUPTURE OF DIAPHRAGM, SPLEEN, LIVER, EXTRAHEPATIC BILIARY DUCTS, PANCREAS, STOMACH, SMALL AND LARGE INTESTINE, MESENTERY, KIDNEY, BLADDER AND SO ON. HOSPITAL MORBIDITY WAS 55% (39 PATIENTS) WHILE LATE COMPLICATIONS WERE PRESENTED IN 4 (4,2%). HOSPITAL MORTALITY WAS19,7% 92,4 OPERATIVELY, 16,9% POSTOPERATIVELY).

Grantor dc:publisher

University of Ioannina

Year dc:date

1987

Author dc:creator

• Ξηροποτάμος, Νικόλαος

• ABDOMINAL PARACENTESIS
• BLUNT ABDOMINAL INJURIES
• DIAGNOSTIC PERITONIAL LAVAGE {D.P.L.}
• ΔΙΑΓΝΩΣΤΙΚΗ ΠΑΡΑΚΕΝΤΗΣΗ ΚΟΙΛΙΑΣ
• ΔΙΑΓΝΩΣΤΙΚΗ ΠΕΡΙΤΟΝΑΙΚΗ ΠΛΥΣΗ
• ΚΛΕΙΣΤΕΣ ΤΡΑΥΜΑΤΙΚΕΣ ΕΝΔΟΚΟΙΛΙΑΚΕΣ ΚΑΚΩΣΕΙΣ
• Ιατρική και Επιστήμες Υγείας
• Κλινική Ιατρική
• Medical and Health Sciences
• Clinical Medicine

Language dc:language

gre

Identifier

10.12681/eadd/0736

OAI identifier oai:identifier

oai:10442/0736