Gómez GMA, Basilio OA, Vallejo SMG, Cárdenas MG, Vega RF, Delgadillo GS, Rodríguez-Ortega MF, González AJM

Language: Spanish
References: 16
Page: 77-81
PDF size: 110.96 Kb.

ABSTRACT

Objective: To demonstrate the experience of non operative treatment of lesions of abdominal solid organs. Setting: Central Hospital of the Mexican Red Cross. Design: Observational, descriptive, traverse, cohort. Patient and methods: All patients with blunt and penetrating abdominal trauma were studied from January 1, 2000 to May 30, 2003. Patients admitted to emergency room with hemodynamic stability (13). FAST, and abdominal tomography were performed to determine location and type of lesion, in accordance to the American Association of Surgery of Trauma. Results: Lesion mechanism was head-on crash (38.5%), trauma score and Glasgow average were 14.5 and 12 points respectively, medial arterial pressure 82 mm Hg, with a geater incidence of left side renal lesions and grade I; liver segment IV being the most affected, grade III; the most frequent lesions were of the spleen, grade I inferior pole; average transfusions of 1.4 globular packages; averaged hospital stay of 11 days. Conclusion: We recommend this treatment as part of the trauma surgeons therapeutic resources in patients with hemodynamic stability.

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