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ICU management of patients with suspected positive findings of diagnostic peritoneal lavage following blunt abdominal trauma

         

摘要

Objective: To explore the management for blunt abdominal trauma victims with probable positive diagnostic peritoneal lavage (DPL) findings. Methods: Data of 76 patients with probable positive DPL findings accepted to ICU in previous 10 years were reviewed. After admission, the patients were evaluated in a settled time according to the protocols of Advanced Trauma Life Support (ATLS). Vital signs were continuously monitored and DPL, ultrasound and/or CT scan were repeated when necessary. Results: Eighteen (24%) of 76 patients presented positive DPL findings after repeated DPL. Surgical findings confirmed 7 cases of spleen rupture, 3 hepatorrhexis (infra-Glisson capsule), 4 intestinal perforation, 2 gastric perforation, 1 colon perforation and 1 injured mesentery.

著录项

  • 来源
    《中华创伤杂志(英文版)》 |2005年第1期|46-48|共3页
  • 作者单位

    Intensive care unit, Affiliated Sir Run Run Shaw Hospital, Medical College, Zhejiang University, Hangzhou 310016, China;

    Intensive care unit, Affiliated Sir Run Run Shaw Hospital, Medical College, Zhejiang University, Hangzhou 310016, China;

    Intensive care unit, Affiliated Sir Run Run Shaw Hospital, Medical College, Zhejiang University, Hangzhou 310016, China;

    Intensive care unit, Affiliated Sir Run Run Shaw Hospital, Medical College, Zhejiang University, Hangzhou 310016, China;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类
  • 关键词

    Abdominal injuries; Peritoneal lavage; Diagnostic servicesI;

    机译:腹部损伤;腹膜灌洗;诊断服务;
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