Gómez-Sánchez J, García D, Sanabria-González MA, López C, Correa-Rovelo JM, Athie-Athie AJ

Language: Spanish
References: 5
Page: 151-153
PDF size: 119.57 Kb.

ABSTRACT

Introduction. Currently, trauma in Mexico continues to be a major cause of death in young patients. Is difficult to set a definite algorithm for diagnosis and treatment of these patients, reason why we presented below the epidemiology and experience of a private hospital. Objective. Report the epidemiology and abdominal trauma experience in a private hospital at Mexico City from September 2010 to September 2011. Material and methods. An observational, descriptive, retrospective and longitudinal study. We included 16 cases between 2010 and 2011. We assessed central tendency measures and taken into account multiple variables (sex, trauma type, injured viscera, etc). Results. A total of 16 patients entered into the study were male, 11 received one gunshot wound, 3 stab wound, one concussion and 1 unspecified. The organ that showed the higher frequency of liver damage was the liver. On admission 14 patients were hemodynamically stable and 2 presented hemodynamic instability. 13 patients underwent computerized axial tomography. During their hospital stay, 7 patients required blood transfusions. The average hospital stay was 5.3 days, 2 patients were discharged voluntary and 14 patients were discharged for improvement. 15 patients underwent surgery, 14 exploratory laparotomies and 1 diagnostic laparoscopy. It was not found visceral or vascular injury in 6 patients who underwent surgery and 9 required major surgery. Conclusion. The management of abdominal trauma is a rare entity in private hospitals. In most cases it requires surgical treatment in its various forms and have good prognosis despite injury diversity.

REFERENCES

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