Visceral Injuries in Patients with Blunt and Penetrating Abdominal Trauma Presenting to a Tertiary Care Facility in Karachi, Pakistan
Visceral Injuries in Patients with Blunt and Penetrating Abdominal Trauma Presenting to a Tertiary Care Facility in Karachi, Pakistan
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DOI：
10.7759/cureus.3604
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发表时间：
2018-11-01
影响因子：
1.2
通讯作者：
Iqbal, Mazhar
中科院分区：
文献类型：
--
作者：
Naeem, Bushra Kiran;Perveen, Sughra;Iqbal, Mazhar
腹部损伤占创伤死亡率的10%。早期诊断延误或误诊是腹部创伤并发症的主要原因。本研究的目的是确定腹部创伤患者的内脏损伤的频率，并比较钝性和穿透性腹部创伤患者的内脏损伤的频率。MethodsWe进行了一项横断面研究，从2016年5月至2018年5月，在巴基斯坦卡拉奇真纳研究生医学中心急诊科（艾德）的患者。患者年龄在12至65岁之间，在腹部创伤后24小时内就诊。我们记录了腹部内脏损伤的类型，如肝，脾，肠，胃，肠系膜和pancreat.ResultsThe平均患者年龄为31 +/- 13岁。大多数患者（n=72，51%）发现穿透性创伤。肝损伤37例（26.4%），脾损伤29例（20.7%），胃损伤8例（5.7%），肠损伤67例（47.9%），肠系膜损伤21例（15%），胰腺损伤9例（6.4%）。腹部创伤的类型与肝损伤（p值0.021）和肠损伤（p值0.001）显著相关。
IntroductionAbdominal injuries are responsible for 10% of the mortalities due to trauma. Delays in early diagnosis or misdiagnoses are two major reasons for the mortality and morbidity associated with abdominal trauma. The objectives of this study were to determine the frequency of visceral injuries in patients with abdominal trauma and compare the frequency of visceral injuries in patients with blunt and penetrating abdominal trauma.MethodsWe conducted a cross-sectional study from May 2016 to May 2018 of patients presenting to the emergency department (ED) at Jinnah Postgraduate Medical Center in Karachi, Pakistan. Patients were 12 to 65 years old and presented within 24 hours of abdominal trauma. We recorded the type of abdominal visceral injuries, such as liver, spleen, intestine, stomach, mesentery, and pancreas.ResultsThe mean patient age was 31 +/- 13 years. Penetrating trauma was found in most patients (n=72, 51%). Liver injuries were found in 37 patients (26.4%), spleen injuries in 29 patient (20.7%), stomach injuries in eight patients (5.7%), intestine injuries in 67 patients (47.9%), mesentery injuries in 21 patients (15%), and pancreas injuries in nine patients (6.4%). The type of abdominal trauma was found significantly associated with liver injury (p-value 0.021), and intestine injury (p-value