Enríquez-Domínguez L, Díaz-Rosales JD, Romo-Martínez JE

Language: English
References: 10
Page: 31-33
PDF size: 502.42 Kb.

Text Extraction

Introduction Hematic biometry is the most used laboratory exam in the emergency room in every general or trauma hospital.
Objective To analyze and compare the levels of hemoglobin, hematocrit, platelets, leukocytes, and neutrophilia in both pre-surgical and post-surgical levels in penetrating abdominal trauma patients.
Material and Methods This is a descriptive and prospective study in patients with penetrating abdominal trauma that underwent exploratory laparotomy. The variables analyzed were: age, gender, type of trauma, presurgical and post-surgical count of hemoglobin; hematocrit; platelets; leucocytes; neutrophilia; perioperative bleeding, mortality, and hospital stay.
Results Of 508 patients studied, only 93 patients were included. The mean of age was 29.6 years old. 87 patients were males. 32 patients (34.4%) were SW injured whereas 61 (65.6%) were GW injured. According to the type of trauma: 78 patients (83.9%) underwent therapeutic laparotomy, 11 patients (11.8%) underwent non-therapeutic laparotomy, and 4 patients (4.3%) underwent damage control surgery. There were differences between pre-surgical and post-surgical levels, with major levels in presurgical means.
Discussion Presented values, represent the beginning of a major and multi-institutional study to show real and reliable values that we can expect in a patient with penetrating abdominal trauma during pre-surgical and post-surgical time. We cannot conclude that these data are conclusive; however these data can guide on the levels that we can expect in a multi-institutional study with a major number of patients.

REFERENCES

1. Díaz-Apodaca BA, De Cosio FG, Moye-Elizalde G, Fornelli-Laffon FF. Discharges for external injuries from a hospital in Ciudad Juarez, Mexico. Rev Panam Salud Publica 2012 ;31(5 ):443-446.

2. O'Connor E. Mexico's Ciudad Juárez Is No Longer the Most Violent City in the World. Time, Oct. 15, 2012 http://newsfeed.time.com/2012/10/15/mexicosciudad- juarez-is-no-longer-the-most-violent-city-inthe- world/#ixzz2R9nh5F8W

3. Almaguer C. Interpretación clínica de la biometría hemática. MedUniver 2003 ;5(18): 35-40.

4. Hurtado R, Mellado Y, Flores G, Vargas P. Semiología de la citometría hemática. Rev Fac Med UNAM 2010; 53(4): 36-43.

5. Ertekin C, Yanar H, Taviloglu K, Güloglu R, Alimoglu O. Unnecessary laparotomy by using physical examination and different diagnostic modalities for penetrating abdominal stab wounds. Emerg Med J. 2005; 22(11): 790-794.

6. Enríquez-Domínguez L, Díaz-Rosales JD, Herrera- Ramírez F, Castillo-Moreno JR. Cirugía de control de daño. Experiencia inicial en el Hospital General de Ciudad Juárez, México, durante el periodo de abril del 2008 a diciembre del 2010. Med UIS 2011; 24(2): 195-199.

7. Castillo-Moreno JR, Enríquez-Domínguez L, Herrera-Ramírez F, Díaz-Rosales J. Laparotomía noterapéutica en trauma penetrante abdominal y su relación con el estado de intoxicación por alcohol y drogas. Cir Gen. 2011; 33(4): 232-5.

8. Senado-Lara I, Castro-Mendoza A, Palacio-Vélez F, Vargas-Ávila AL. Experiencia en el manejo del abdomen agudo de origen traumático en el Hospital Regional “General Ignacio Zaragoza”.CirCiruj. 2004; 72: 93-7.

9. Pinedo-Onofre JA, Guevara-Torres L, Sánchez- Aguilar JM. Trauma abdominal penetrante. CirCiruj. 2006; 74: 431-42.

10. Senado-Lara I, Castro-Mendoza A, Palacio-Vélez F, Vargas-Ávila AL. Experiencia en el manejo del abdomen agudo de origen traumático en el Hospital Regional “General Ignacio Zaragoza”. CirCiruj. 2004; 72 :93-7.