RESUMO
An analysis of application results of complex research methods of diagnostics of intraorganic hepatic and splenic hematomas was made. At the same time, options of these methods were used for determination of prescription of injury. The ultrasound, CT, MR-imaging, videolaparoscopy, angiography, Doppler ultrasonics, impedometry, biochemical, laboratory and cytological study of punctate sample from hematomas were applied for this purpose in 33 patients. According to authors, an evolution of hematomas happened in 3 stages, each of this stage was characterized by specified data associated with investigation results. The staging procedure of hematomas or their evolution allowed setting the prescription of injury.
Assuntos
Traumatismos Abdominais/complicações , Hematoma/etiologia , Fígado/lesões , Baço/lesões , Ruptura Esplênica/complicações , Ferimentos não Penetrantes/complicações , Traumatismos Abdominais/diagnóstico , Angiografia , Hematoma/diagnóstico , Humanos , Laparoscopia , Imageamento por Ressonância Magnética , Ruptura , Ruptura Esplênica/diagnóstico , Tomografia Computadorizada por Raios X , Ferimentos não Penetrantes/diagnósticoRESUMO
An analysis of the condition of emergency surgery for the patients with acute abdominal diseases was made in the period of 1972-2012. The dynamics of surgical beds provision and surgical personnel were taken into account. The authors investigated the rate of general and postoperative lethality, tendencies and regular occurrences and leading reasons of negative results in given diseases. Reserves of further decrease of the lethality were considered and it was associated with shortening of hospitalization part later than 24 hours. The future improvement of intensive therapy and resuscitation, more wide application of minimally traumatic techniques of surgical treatment could give better results in this group of patients.
