Actual Diagnostic Strategies in Blunt Abdominal Trauma

Abstract

An accurate assessment of patients with potential blunt abdominal trauma should include a safe and reliable method of determining the need for operative intervention because the mortality and morbidity of these injuries are directly dependent on the immediately valid diagnostic work-up. Since peritoneal signs are often subtle, overshadowed by pain from associated injury or masked by head trauma and intoxicants, clinical methods of diagnosis are often unreliable. Since the frequently injured liver and spleen are nowadays more frequently managed nonoperatively, an acute assessment not only of the presence of injury, but also of the nature and extent of the injuries to the intraabdominal organs, raises an increasing demand of both sensitive and specific diagnostic modalities.This article discusses the use of different diagnostic modalities including peritoneal lavage, computed tomography scanning, ultrasound and laparoscopy in the diagnosis and immediate management of blunt abdominal trauma patients, and formulates a trauma protocol for managing these patients.

Präklinische Notfallsonographie bei traumatologischen Patienten

“…8 Freie perisplenische Flüssigkeit und freie Flüssigkeit im Koller-Pouch in der linkslateralenAbb. 5 8 Freie retro-und paravesikale FlüssigkeitAbb 6. 7 a,b Auch am Fällen wurde vom Notarzt vor der Ul traschalluntersuchung der klinische Ver dacht auf eine intraperitoneale Blutung geäußert, lediglich in 4 Fällen (45%) konn te dieser Verdacht sonographisch bestä tigt werden.…”

Prognostic factors in blunt abdominal trauma patients undergoing laparotomy and prognostic value of trauma scoring systems

“…Künt karın travmalarında uygun yönetim, dikkatli bir ilk değerlendirme, tanısal prosedürlerin yerinde ve zamanında kullanımı ve hayatı tehdit eden problemlere yönelik etkin tedaviyi içerir. Penetran karın travmalarının tersine künt karın travmalarında laparotomi kararı vermek çok daha zordur [3][4][5][6] .…”