Evidencia clínica del manejo primario del trauma abdominal cerrado en el período 2016-2017
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2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Se denomina trauma abdominal a la lesión traumática de los órganos de la cavidad abdominal acarrear morbilidad o mortalidad si no se sospecha, evalúa o diagnostica de manera oportuna”. Entre los pacientes con trauma abdominal penetrante, la causa más común son las heridas por arma blanca y por arma de fuego. Los órganos macizos lesionados en el trauma abdominal cerrado son: hígado, bazo, páncreas y riñón; los órganos huecos más afectados, en orden de frecuencia, son: intestino delgado, colon, vejiga y estómago.
Representa la primera causa de lesiones intraabdominales, siendo los accidentes automovilísticos y las caídas, siendo el sexo masculino afectado con un 21.2% en edad de 26 a 30 años.
El síntoma prevalente que presentaron nuestros pacientes fueron con orden de frecuencia son: taquicardia con unos 86,6% seguidos de Hipotensión, diaforesis, presentando un paulatino deterioro de la conciencia, como signo de alarma es la distensión abdominal, el timpanismo, peritonismo.
Recomendamos el intensificar las medidas básicas del manual de manejo del paciente que presenta trauma de abdomen de tipo cerrado que es MIRA, ESCUHO, SIENTO, siendo nuestra regla de oro en el manejo del paciente.
Abdominal trauma is the traumatic injury of the organs of the abdominal cavity causing morbidity or mortality if it is not suspected, evaluated or diagnosed in a timely manner." Among patients with penetrating abdominal trauma, the most common cause is the stab wounds and gunshot wounds. The solid organs injured in closed abdominal trauma are: liver, spleen, pancreas and kidney; the most affected hollow organs, in order of frequency, are: small intestine, colon, bladder and stomach. It represents the first cause of intra-abdominal injuries, being automobile accidents and falls, being the male sex affected with 21.2% in age from 26 to 30 years. The prevalent symptom that our patients presented were in order of frequency are: tachycardia with 86.6% followed by hypotension, diaphoresis, presenting a gradual deterioration of consciousness, as a sign of alarm is abdominal distention, tympanic, peritonism. We recommend intensifying the basic measures of the patient management manual that presents a closed type abdomen trauma that is LOOK, LISTEN, FEEL, being our golden rule in patient management
Abdominal trauma is the traumatic injury of the organs of the abdominal cavity causing morbidity or mortality if it is not suspected, evaluated or diagnosed in a timely manner." Among patients with penetrating abdominal trauma, the most common cause is the stab wounds and gunshot wounds. The solid organs injured in closed abdominal trauma are: liver, spleen, pancreas and kidney; the most affected hollow organs, in order of frequency, are: small intestine, colon, bladder and stomach. It represents the first cause of intra-abdominal injuries, being automobile accidents and falls, being the male sex affected with 21.2% in age from 26 to 30 years. The prevalent symptom that our patients presented were in order of frequency are: tachycardia with 86.6% followed by hypotension, diaphoresis, presenting a gradual deterioration of consciousness, as a sign of alarm is abdominal distention, tympanic, peritonism. We recommend intensifying the basic measures of the patient management manual that presents a closed type abdomen trauma that is LOOK, LISTEN, FEEL, being our golden rule in patient management
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Traumatismos abdominales, Diagnóstico clínico, Heridas y traumatismos, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador, Epidemiología descriptiva, Estudios retrospectivos