Díaz-Rosales JD, Enríquez-Domínguez L, Castillo-Moreno JR, Herrera-Ramírez F

Language: Spanish
References: 22
Page: 516-522
PDF size: 201.55 Kb.

ABSTRACT

Background: in Mexico, the management of abdominal penetrating trauma doesn´t follows algorithms of Trauma Center level I, because our limitations and laparotomies are inevitable in this context. Is possible use some grade of leukocytosis suspect in-trabdominal lesion?
Methods: study retrospective, descriptive and analytic that inclu-ded patients with abdominal penetrating trauma that suffered exploratory laparotomy. We excluded patients´ whit severe damage to soft tissues in extremities, thoracic affection, fractures, or da-mage in nervous system. We divided 2 groups: group I (therapeutic laparotomy) and group II (non-therapeutic laparotomy). Dependent variables were; age, gender, type of injury, number of lesions, peripheral lesions, time between injury and take blood sample to laboratory, leukocytosis mean, percentage of neutrophils, leukocytosis ≥ 12,500 /mm³, and hemoperitoneum. We compared variables between two groups and use Pearson χ² test and T-Student, and percentages as summary of measures.
Results: we included 231 patients, group I with 159 patients and group II with 72 patients. Leukocytosis global was 13.2 mil/mm³ and neutrophil range of 70.3%. 26% of patients haven’t leukocytosis at arrival and evaluation, however they were laparotomized because present peritoneal irritation. Leukocytosis ≥ 12.5 mil/mm³ was statistical significant in patients with intrabdominal lesions (74.2% vs 27.7%, p ‹ 0.001).
Conclusions: leukocytosis ≥ 12.5 mil/mm³ could be an early serum marker about intrabdominal lesions in abdominal penetrating trauma.

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