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At least 775 records · Page 43Linked to original sources
PubMed1986

[Sonographic monitoring in blunt abdominal injuries in children].

Sonography is nowadays the most important examination in diagnosing lesions of the parenchymatous organs after blunt abdominal trauma. Also for monitoring this method is recommended. Under the premises of 1. no clinical deterioration, 2. the possibility for repeated ultrasound investigations, and 3. readiness to operate at any moment it is possible to treat traumatized parenchymatous organs conservatively. This is of utmost importance in paediatric surgery because of the risk of overwhelming postsplenectomy infection after splenectomy especially for young children. Examples for conservative treatment for trauma to spleen, liver and kidney are discussed.

Abdominal Injuries↗
PubMed2002

Humeral shaft fractures as predictors of intra-abdominal injury in motor vehicle collision victims.

To assess the utility of humeral shaft fractures as predictors of organ injuries and skeletal injuries in multiply injured patients involved in motor vehicle collisions (MVCs). A prospectively collected database of multiply injured motor vehicle occupants with an Injury Severity Score (ISS) greater than 12 admitted to a level I regional trauma centre during a 102-month period (January 1992 to June 2000) was reviewed to assess skeletal and organ injuries associated with a humeral shaft fracture. The effect of occupant location within the vehicle, the point of collision, and the use of a seat belt restraint was also examined to identify trends in injury patterns. Data from 1070 motor vehicle occupants - 65 with concomitant humeral shaft fractures and 1005 without humeral shaft fractures - revealed that 63% of motor vehicle occupants who sustained humeral fractures were drivers, compared with 77% in the non-humeral fracture group. Those patients who sustained a humeral shaft fracture had a significantly greater number of liver injuries (p = 0.022), forearm/hand fractures (p < 0.001), tibial fractures (p < 0.01) and femoral fractures (p < 0.01) compared with controls. A lateral collision impact showed a trend towards increased splenic and hepatic injuries within the humeral shaft fracture group. The presence of a humeral shaft fracture in a multiply injured patient involved in a MVC is significantly associated with an increased incidence of both upper and lower extremity fractures and liver injury. Moreover, humeral shaft fractures may serve as a predictor of potential intra-abdominal pathology in multiply injured trauma patients involved in MVCs.

Abdominal Injuries↗
PubMed1989

[Autologous blood transfusion in thoracic and abdominal injuries].

Analysis of the experience with autologous blood transfusion of 6431 of blood to 570 patients who suffered thoracic and abdominal trauma showed that, when blood loss was compensated via autologous blood transfusion, lethality and number of purulent complications were lower than with the use of donor blood. Repeated examination of the hemostasis system demonstrated that massive reinfusion of blood led to the occurrence of transient disturbance (hypocoagulation) which did not require specific correction. Inference is made hat in the event of critical situations autologous blood transfusion is a permissible procedure even when hollow organs are injured. Considering the technical aspects of this problem, it appears that autologous blood transfusion is expedient both from clinical and from economical point of view.

Abdominal Injuries↗
PubMed1988

The effects of pneumatic antishock garments in the treatment of critical abdominal injuries in rats.

Thirty rats were subjected to a standardized critical aortic injury and divided into six groups. In addition to controls, the animals were treated with a pneumatic antishock garment (PASG), massive intravenous or intra-aortic saline infusion, or PASG in combination with either massive intravenous or intra-aortic saline infusion. Twenty-six rats were subjected to a standardized hepatic injury and divided into four groups. In addition to controls, the animals were treated with PASG, massive intravenous saline infusion, or PASG in combination with massive intravenous saline infusion. These animals were allowed to bleed for 5 minutes before the treatment was started. The treatment with PASG alone prolonged the median survival time significantly from 7 min in the control group to greater than 120 min in the PASG group in rats with an aortic injury and from 33 to greater than 120 min in rats with a hepatic injury. Intravenous infusion of saline did not prolong the median survival time. Intravenous infusion in combination with PASG did not have any positive effects on median survival time or median mean aortic pressure and failed to prolong the median survival time significantly in rats with a liver injury, as six out of eight animals developed a lethal pulmonary edema.

Abdominal Injuries↗