کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3311589 | 1210968 | 2016 | 11 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Prise en charge des plaies pénétrantes abdominales et thoraco-abdominales : à propos d'une série rétrospective de 186 cas
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای گوارشی
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
This is a single center retrospective review of abdominal or abdomino-thoracic penetrating wounds treated between 2004Â and 2013Â in the Gastrointestinal and Emergency Unit of the University Hospital of Grenoble, France. This study did not include patients who sustained blunt trauma or non-traumatic wounds, as well as patients with penetrating head and neck injury, limb injury, ano-perineal injury, or isolated thoracic injury above the fifth costal interspace. In addition, we also included cases that were reviewed in emergency department morbidity and mortality conferences during the same period. Mortality was 5.9Â % (11/186Â patients). Mean age was 36Â years (range: 13-87). Seventy-eight percent (145Â patients) suffered stab wounds. Most patients were hemodynamically stable or stabilized upon arrival at the hospital (163Â patients: 87.6Â %). Six resuscitative thoracotomies were performed, five for gunshot wounds, one for a stab wound. When abdominal exploration was necessary, laparotomy was chosen most often (78/186: 41.9Â %), while laparoscopy was performed in 46Â cases (24.7Â %), with conversion to laparotomy in nine cases. Abdominal penetration was found in 103Â cases (55.4Â %) and thoracic penetration in 44Â patients (23.7Â %). Twenty-nine patients (15.6Â %) had both thoracic and abdominal penetration (with 16Â diaphragmatic wounds). Suicide attempts were recorded in 43Â patients (23.1Â %), 31 (72.1Â %) with peritoneal penetration. Two patients (1.1Â %) required operation for delayed peritonitis, one who had had a laparotomy qualified as “negative”, and another who had undergone surgical exploration of his wound under general anesthesia. In conclusion, management of clear-cut or suspected penetrating injury represents a medico-surgical challenge and requires effective management protocols.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal de Chirurgie Viscérale - Volume 153, Issue 4, Supplement, August 2016, Pages 73-83
Journal: Journal de Chirurgie Viscérale - Volume 153, Issue 4, Supplement, August 2016, Pages 73-83
نویسندگان
S. Barbois, J. Abba, S. Guigard, J.L. Quesada, A. Pirvu, P.A. Waroquet, F. Reche, O. Risse, P. Bouzat, F. Thony, C. Arvieux,