Non penetrating abdominal trauma: Key points to explore or to conserve
Medical Journal of Cairo University [The]. 1997; 65 (4): 779-7798
Dans Anglais
| IMEMR
| ID: emr-45777
ABSTRACT
Seventy-eight patients with blunt abdominal trauma [either isolated or as a part of polytrauma] were stratified into four management groups based on a clinical scoring system. Immediate laparotomy was done in 36 cases, diagnostic peritoneal lavage followed by further management in 18 cases, auxiliary radiological investigation in the form of ultrasonography and/or CT scan in 14 cases and the conservative treatment based on mere clinical judgment in 10 cases. The study devised a Clinical Abdominal Scoring System [CASS] which helped in proper patient selection for definitive management. This is reflected on the high accuracy and specificity of the auxiliary radiological investigation [100%] and minimizes cost as well as subsequent mortality that would result from delayed or improper diagnosis
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Indice:
Méditerranée orientale
Sujet Principal:
Plaies non pénétrantes
/
Tomodensitométrie
/
Échographie
Limites du sujet:
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Med. J. Cairo Univ.
Année:
1997
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