abdominal organ injuries
Traumatology / / May 16, 2016
victims with concomitant injury to abdominal organs make up 9.8% of all patients with multiple trauma and 28.8% - with associated injuries.Men are affected more often (71.8%) than women (28.2%).The main reason for concomitant abdominal injuries - traffic accidents (68.3%) and a fall from a great height (29.5%).In 66.3% of the victims at the same time there is a traumatic brain injury, in 41.3% - multiple rib fractures, 30% - fractures of the pelvis, at 79.5% - limb fractures.
one organ damage have been reported in 50% of the victims, two - at 39.4%, three or more bodies - at 10.6%.Most damaged parenchymal organs - 50.5%, less hollow - 26.5%.87.2% of victims delivered to the hospital in a state of shock, mainly III-IV degree.
abdominal injuries are severe and complicated injuries, the outcome of which is difficult to predict in the acute period.All the victims with closed and open abdominal injury should be immediately hospitalized for a thorough and ongoing monitoring in the surgical department.Shock,
greatest difficulties for diagnosis are blunt abdominal trauma, especially when there is no local signs of damage to the abdominal wall, and the characteristic clinical picture of "acute abdomen" is not expressed in the first hours and even days after injury or signs of intra-abdominal catastrophe disguised accompanying severe injuries to other body regions (head injury, chest injury, pelvis, multiple fractures of extremities).
The most common cause is a direct blow to the stomach (fist, foot, thrown object protruding portions of a moving vehicle, at the drop of protruding objects, and so on. D.).Severe injuries occur from compression of the body at stomach level at running wheels transport collapses when pressed against the wall moving machinery, and so on. D. Indirect mechanism of injury is associated with a fall suffered from a great height.
- basic signs with injuries abdominal organ injury
- First aid and treatment of abdominal
- damage to abdominal organs and limbs
- Injuries in the home and at work
- struggle with pain in injuries
- Bilateral hip dislocation
- tourniquet technique
- Transosseous osteosynthesis external fixation
- struggle with acute blood loss in trauma
There are indoor and outdoor damage of the abdominal wall and the damage of the abdominal cavity.This division is purely arbitrary, as signs of abdominal injuries are a direct indicator of possible damage to internal organs, and the absence of external signs of injury does not exclude internal pathology.
abdominal injuries with multiple fractures should be considered in three conditions.Damage to organs located in epigastrium, ie actually chest, though below the diaphragm..;These include liver, spleen, kidneys, adrenal glands and stomach.These bodies are often damaged by the fractures of the ribs.
On average, abdomen during a rear impact renal injury may occur in fractures of the transverse processes of the lumbar vertebrae.But for severe injuries to abdominal organs in hypagastrium «necessary» direct hit from the front.When force is applied midline abdominal breaks usually occur mesenteric, iliac terminal part and the initial part of the jejunum.
With widespread impact or rapid compression of the abdomen at the same time the front and rear can occur multiple injuries of bones.
Identifying intra-damage remote from the abdominal cavity of bone injuries (fractures of the limbs, the shoulder girdle), and in the absence of severe injuries of the skull is much easier, because the symptoms of pain, muscle protection and peritoneal irritation are well-marked and maintained contact with a patient.