Resumo

RONDON ESPINO, Jesús Alberto et al. Traumas abdominales: Experiencia en un Servicio de Cirugía General, 1986 a 1993. Rev Cubana Cir [online]. 2002, vol.41, n.2, pp. 104-109. ISSN 1561-2945.

A retrospective, descriptive and observational study was conducted among 359 patients admitted due to abdominal trauma in the General Surgery Service of "Carlos Manuel de Céspedes" Provincial General Teaching Hospital of Bayamo, from January, lst, 1996, to December, 31st, 1993. The patients accounted for 1.67 % of the total of admissions, 1.60 % of major operations and 6.63 % of the deaths occurred at this service in this period. The patients’ age ranged from 10 months to 74 years old, with a mean of 27.85 years old. The age group 21-30 was the most affected. 79.68 % of the cases were between 11 and 40 years old. Males prevailed over the females at a ratio of 5.41:1. The stab wounds were the first cause of injuries. It was observed a predominance of open injuries (69.64 %).Visceral injury was detected in 59.61 % of the cases. The abdominal function had a sensitivity of 85.22 %, a specificity of 96.42 % and an efficiency of 87.93 %. Surgical treatment was required in 91.92 % of the patients. Visceral injury was found in 214 patients with predominance among the liver, the smalll intestine, the spleen, the colon and the mesenterium injuries. 333 patients were discharged alive and 26 (7.24 %) died.The hypovolemic shock was the main cause of death

Palavras-chave : ABDOMINAL INJURIES [surgery]; ABDOMINAL INJURIES [mortality]; WOUNDS, PENETRATING [mortality]; WOUNDS, STAB [mortality].

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