>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)
PDF: 4. Kb.
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.
||Abdominal lesions, trauma, morbidity, mortality.
Esposito TJ, Bejarano W. Sistemas de atención en trauma. En: Rodríguez A, Ferrada R. Trauma. Colombia: Sociedad Panamericana de Trauma; 1997: p. 15.
National Academy of Science: Injury in America, A continuing Health Problem. Washington: National Academy Press, 1985.
Harlan LC, Harlan WR, Parsons PE. The economic impact of injuries: a major source of medical costs. Am J Public Health 1990; 80: 453-9.
Mortalidad por causas. En cuaderno 7: Información estadística Sector Salud y Seguridad Social. Instituto Nacional de Estadística, Geografía e Informática. 1991: 53.
Híjar-Medina MC, Flores-Aldana ME, López-López MV. Cinturón de seguridad y gravedad de lesiones en accidentes de tráfico en carretera. Salud Publica Mex 1996; 38: 118-27.
Kraus JF, Black MA, Hessol N, Ley P, Rokaw W, Sullivan C et al. The incidence of acute brain injury and serious impairment in a defined population. Am J Epidemiol 1984; 119: 186-201.
LoCicero J 3rd, Mattox KL. Epidemiology of chest trauma. Surg Clin North Am 1989; 65: 15-9.
Oreskovich MR, Carrico CJ. Tratamiento del individuo gravemente traumatizado. En: Sabiston DC, editor. Tratado de patología quirúrgica: bases biológicas de la práctica quirúrgica moderna. 13ª ed. México: Interamericana McGraw-Hill; p.309-46.
Cushing BM, Clark DE, Cobean R, Schenarts P, Rutstein LA. Traumatismo penetrante y no penetrante: ¿ha cambiado algo? Clin Quir Norteam 1997; 77: 1281-92.
Deaths resulting from firearm-and motor-vehicle-related injuries-United States, 1968-1991. MMWR Morb Mortal Wkly Rep 1994; 43: 37-42.
Hernández-Gutiérrez P, Grifé-Coromina A, de la Garza-Estrada VA. Escalas para evaluar la mortalidad de pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto. Salud Publica Mex 1997; 39: 201-6.
Knudson MM, Maull KI. Tratamiento no operatorio de lesiones de órganos sólidos. Clin Quir Norteam 1999; 79: 1345.
Presswalla FB. The pathophysics and pathomechanics of trauma. Med Sci Law 1978; 18: 239-46.
Vicencio-Tovar A, Toro-Yepes LE. Trauma abdominal. En: Rodríguez A, Ferrada R. Trauma. Colombia: Sociedad Panamericana de Trauma; 1997: p.307.
Cox EF. Blunt abdominal trauma. A 5 year analysis of 870 patients requiring celiotomy. Ann Surg 1984; 199: 467-74.
Feliciano DV, Burch JM, Spjut-Patrinely V, Mattox KL, Jordan GL Jr. Abdominal gunshot wounds. An urban trauma center’s experience with 300 consecutive patients. Ann Surg 1988; 208: 362-70.
>Year 2002, Issue 3