Avtor/Urednik		Kobilica, Nina; Flis, Vojko
Naslov		Tope poškodbe abdomna
Prevedeni naslov		Blunt abdominal injury
Tip		članek
Vir		Med Mes
Vol. in št.		Letnik 1, št. 12
Leto izdaje		2005
Obseg		str. 21-9
Jezik		slo
Abstrakt		Blunt abdominal injury carries a high mortality, especially when unrecognized in polytraumatized patient. Abdominal injury is a contributing factor in about 20% of trauma death, either early from exsanguinating haemorrhage or late from bowel injury, subsequent sepsis or multiple organ failure. Advances in technology and increased appreciation of the significance of the physiological derangement associated with severe abdominal injury has led to changes in investigation and surgical management of abdominal trauma. Abdominal injury frequently occurs as part of the picture of multiple injury, and therefore prioritization issues become paramount in its management. When there is a high index of suspicion from the mechanism of injury and patient has generalized abdominal signs then laparatomy has a priority over diagnostic procedures.
Izvleček		Topa poškodba abdomna, kot jo vidimo pri politravmatiziranem bolniku, je pogosto usodna. Poškodbe abdomna so udeležene pri približno 20% vseh smrti zaradi poškodb nasploh. V zgodnjem obdobju je kot vzrok smrti v ospredju krvavitev v trebušno votlino, v kasnem pa poškodbe črevesja, razvijajoča se sepsa in večorganska odpoved. Napredek v diagnostični tehnologiji in boljše razumevanje patofizioloških sprememb pri hudih poškodbah abdomna sta prinesla spremembe pri diagnostiki in kirurških postopkih. Ker se poškodba abdomna pogosto pojavlja skupaj z ostalimi poškodbami, je potrebno skrbno pretehtati vrstni red diagnostičnih in terapevtskih postopkov. Če mehanizem poškodbe nakazuje poškodbo abdomna, če ima bolnik klinične znake, sumljive za akutni abdomen in če je hemodinamsko nestabilen, potem ima laparatomija prednost pred ostalimi diagnostičnimi postopki.
Deskriptorji		ABDOMINAL INJURIES WOUNDS, NONPENETRATING TOMOGRAPHY, X-RAY COMPUTED MIDDLE AGE