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العنوان
Blunt Abdominal Trauma
Evaluation and Management/
الناشر
Ain Shams University - Faculty of Medicine,
المؤلف
Abdel-Hafeez, Ashraf El-Said Abdel-Gawwad.
الموضوع
General Surgery. Blunt Abdominal Trauma.
تاريخ النشر
2009 .
عدد الصفحات
160 p.;
الفهرس
Only 14 pages are availabe for public view

from 160

from 160

Abstract

Blunt abdominal injuries are present in most cases of multiply injured patients and represent the most common type of abdominal trauma. Early identification of significant intra-abdominal injuries is necessary for the successful management of blunt abdominal trauma, because delay in diagnosis can lead to significant morbidity and mortality. The key determinant for the choice of the appropriate investigation or management of solid organ injuries following blunt abdominal trauma is the hemodynamic stability of the patient . Patients who are unstable with positive DPL require a laparotomy, while in the haemodynamically stable patients, CT is the investigation of choice. There has been an evolution in our understanding of the importance of CT findings in patients, who-have undergone blunt abdominal trauma. Although therapeutic decisions cannot be based on radiologic findings alone, but always depend primarily on clinical parameters and any concomitant extra-abdominal injuries, the information provided by CT at admission may greatly facilitate patient management.