Open AccessAbdominal bleeding in victims with abdominal-vertebral injury as a result of road accidents
Author(s) -
S.A. Guriev,
P.V. Tanasienko,
S.Ya. Balyasevich
Publication year - 2018
Publication title -
vìsnik vìnnicʹkogo nacìonalʹnogo medičnogo unìversitetu
Language(s) - English
Resource type - Journals
eISSN - 2522-9354
pISSN - 1817-7883
DOI - 10.31393/reports-vnmedical-2018-22(4)-09
Subject(s) - medicine , abdominal trauma , hemoperitoneum , pelvis , concomitant , surgery , abdomen , radiology , blunt
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.