دورية أكاديمية
Spectrum of abdominal organ injury in a primary blast type.
العنوان: | Spectrum of abdominal organ injury in a primary blast type. |
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المؤلفون: | Wani I; Department of Surgery, S.M.H.S Hospital, Srinagar, Kashmir, India., Parray FQ, Sheikh T, Wani RA, Amin A, Gul I, Nazir M |
المصدر: | World journal of emergency surgery : WJES [World J Emerg Surg] 2009 Dec 21; Vol. 4, pp. 46. Date of Electronic Publication: 2009 Dec 21. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101266603 Publication Model: Electronic Cited Medium: Internet ISSN: 1749-7922 (Electronic) Linking ISSN: 17497922 NLM ISO Abbreviation: World J Emerg Surg Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: London : BioMed Central, 2006- |
مستخلص: | Introduction: Abdominal organ injury in a primary blast type is always challenging for diagnosis. Air containing abdominal viscera is most vulnerable to effects of primary blast injury. In any patient exposed to a primary blast wave who presents with an acute abdomen, an abdominal organ injury is to be kept in a clinical suspicion. Aim: Study various abdominal organ injuries occurring in a primary type of blast injury. Material and Methods: All those who had exploratory laparotomy for abdominal organ injuries after a primary blast injury for a period of 10 years from January 1998 - January 2008 were included in this retrospective study. Results: Total 154 patients had laparotomy for abdominal organ injuries with a primary blast type of injury. Small intestine was damaged in 48 patients (31.1%) followed by spleen in 22.7% cases. 54 patients (35.06%) had more than one organ injured. Liver laceration was present in 30 patients (19.48%). Multiple small gut perforations were present in 37 patients (77.08%). Negative laparotomy was found in 5 patients (3.24%) whereas 3 (1.94%) had re-exploration. Mortality was present in 6 patients (3.89%). Conclusions: Primary blast injury causes varied abdominal organ injuries. Single or multiple organ damage can be there. Small intestine is commonest viscera injured. Laparotomy gives final diagnosis. |
References: | J Trauma. 2009 May;66(5):1468-77; discussion 1477. (PMID: 19430256) Eur J Emerg Med. 1996 Dec;3(4):252-5. (PMID: 9056138) Lancet. 2009 Aug 1;374(9687):405-15. (PMID: 19631372) Br J Surg. 1997 Sep;84(9):1298-303. (PMID: 9313719) Vojnosanit Pregl. 1994 Jan-Feb;51(1):3-12. (PMID: 8553606) Crit Care Med. 2008 Jul;36(7 Suppl):S311-7. (PMID: 18594258) N Engl J Med. 2005 Mar 31;352(13):1335-42. (PMID: 15800229) J R Soc Med. 1999 Mar;92(3):135-6. (PMID: 10396259) |
تواريخ الأحداث: | Date Created: 20091223 Date Completed: 20110714 Latest Revision: 20211020 |
رمز التحديث: | 20221213 |
مُعرف محوري في PubMed: | PMC2803452 |
DOI: | 10.1186/1749-7922-4-46 |
PMID: | 20025766 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1749-7922 |
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DOI: | 10.1186/1749-7922-4-46 |