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PubMed1990

[Clinical aspects of thoraco-abdominal injuries associated with brain injuries].

The results of treatment of 31 patients with thoraco-abdominal trauma in combination with the brain trauma were analysed. Detection of the leading injury which determined the severity of a state of the sufferers offered considerable difficulties. In choice of a method for treatment the preference was given to the least traumatic methods providing saving the life of a patient. Seven sufferers died.

Abdominal Injuries↗
PubMed1984

[Combined thoraco-abdominal injuries. Diagnosis, therapy, treatment results].

81 patients with combined thoraco-abdominal lesions had at the same time craniocerebral lesions (54 cases) and (in 70 cases) injuries of the locomotor system. These 64 men and 17 women had an average age of 44.8 years. In 72.9% surgical intervention was necessary in the regions of the thorax and abdomen at the same time, whereas in 18.5% of the cases surgery was required either at the thorax or at the abdomen only. Only 8.6% of the patients could be treated conservatively. 42 patients died (51.9%), two-thirds of these from direct organ lesion and one-third from an indirect organ lesion. The most frequent cause of death was craniocerebral trauma, ranking before thoracic and abdominal trauma.

Abdominal Injuries↗
PubMed2005

[Diagnostic value of pediatric trauma score in blunt abdominal injuries].

BACKGROUND: It was reported that pediatric trauma score (PTS) is an important tool for the initial assessment of injury severity and could help in the triage of injured children as well. The aim of this study is to investigate the prognostic value of PTS in blunt abdominal traumas. METHODS: Between 1997 and 2003, children with blunt abdominal trauma who treated in the Department of Pediatric Surgery, Trakya University Medical Faculty were evaluated with retrospective analysis. PTS was designated for each case. Individual morbidity and mortality were correlated with PTS. Data analysis were performed with Mann Whitney U test and ROC curve statistically. RESULTS: Seventy five patients were included in this study. The mean age of children was 7.5+/-4.2 years (10 months-15 years). Mechanisms of injury were as follows: automobile versus pedestrian 30, falls 18, motor vehicle crashes 14, bicycle accidents 7 and others 6. Forty two abdominal organ injuries were found.. PTS of the patients who had abdominal injuries were different statistically from others (p<0.05). On the ROC curve sensitivity and specificity were found as %74 and %12 respectively in those with PTS scores of 8. CONCLUSION: PTS was found to be of low sensitivity and specificity for blunt abdominal trauma patients.

Abdominal Injuries↗