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>Journals >Cirujano General >Year 2002, Issue 3

Sánchez LR, Ortiz GJ, Soto VR
Abdominal lesions due to trauma: Two-years experience in a third level health care hospital
Cir Gen 2002; 24 (3)

Language: Español
References: 16
Page: 201-205
PDF: 4. Kb.

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Objective: Trauma is the main cause of death among persons between 5 and 54 years of age in Mexico. Abdominal lesions occur in about a third of them, most are due to blunt trauma but penetrating wounds are increasing. We report our experience with traumatic abdominal lesions during 2 years.
Setting: Third level health care hospital.
Patients and methods: We reviewed the clinical records of patients admitted to the emergency service with traumatic abdominal lesions between March 1998 and February 2000. We recorded the name, age, gender, diagnoses, need of surgery and surgical findings, complications, deaths and their causes.
Results: The sample consisted of 160 patients, 88% were men and 12% women; their age ranged from 10 to 80 years, average of 34 years. Lesions were due to blunt trauma in 53% and penetrating in 47%. All patients were surgically treated. Extra-abdominal lesions were found in 57.5% and multiple lesions in 47.8%, complications were found in 32.5%. General mortality was of 11.8%, being larger (18.8%) for blunt trauma than for the penetrating (4%).
Conclusion: Abdominal lesions due to trauma predominated in men in their second and third decade of life. Blunt trauma had a greater mortality rate, probably because of the higher frequency of multiple and extra-abdominal lesions.

Key words: Abdominal lesions, trauma, morbidity, mortality.


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>Journals >Cirujano General >Year 2002, Issue 3

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