Abdominal bleeding in victims with abdominal-vertebral injury as a result of road accidents
One of the main factors for increasing mortality from injuries and injuries is road traffic injuries. With a combined and isolated abdominal trauma, the operational activity reaches 88%, significantly exceeding that in injuries of the limbs, pelvis, chest and head injuries. The purpose of our work was to reduce the lethality of internal bleeding in victims of abdominal-vertebral trauma as a result of an accident by improving medical diagnostic tactics and provision of emergency surgical care. We analyzed the treatment of 122 victims with abdominal-vertebral trauma as a result of an accident, were hospitalized in the Kiev City Clinical Emergency Hospital for the period from 2013–2017. Abdominal bleeding of different volume in case of concomitant abdominal-vertebral injury as a result of an accident occurs in 37.4% of cases and is shocking in 57.4% of cases. The main source of hemoperitoneum is damage to the parenchymal abdominal organs. A feature of spleen and liver injury is the weak correlation between the mechanism of combined trauma and the degree of damage to the parenchymal abdominal organs.
2. VOZ. (2013). Dorozhno-trasportnye travmy [Road traffic injuries]. Informacionnyj byulleten VOZ – WHO Newsletter, 358.
3. Inozemcev, E. O., Grigorev, E. G. & Aparcin, K. A. (2017). Aktualnye voprosy hirurgii sochetannyh povrezhdenij [Current issues of surgery of combined injuries]. Politravma – Polytrauma, 1, 6–11. Vzyato s http://poly-trauma.ru/index.php/pt/article/view/16.
4. Butcher, N. E., Enninghost, N., Sisak, K. & Balogh, Z. J. (2013). The definition of polytrauma: variable interrater versus intrarater – a prospective international study among trauma surgeons. J. Trauma Acute Care Surg., 74 (3), 884–889. doi: 10.1097/TA.0b013e31827e1bad.
5. Conte, C., Garcia, S. & Arnoux, P. (2012). Experimental multistate analysis of liver damage and failure process under compression. Journal of Trauma and Acute Care Surgery, 72 (3), 727–732.
6. Grundmann R. T., Petersen M., Lippert H. & Meyer F. (2010). The acute (surgical) abdomen epidemiology, diagnosis and general principles of management. Z. Gastroenterol., 48 (6), 696–706. doi: 10.1055/s-0029-1245303.
van Ruden, C., Woltmann, A., Rose, M., Wurm, S., Rüger, M., Hierholzer, C. & Bühren, V. (2013). Outcome after severe multiple trauma: a retrospective analysis. J. Trauma, 7 (1), 4–8. doi: 10.1186/1752-2897-7-4.
This work is licensed under a Creative Commons Attribution 4.0 International License.