Abstract

CASTILLO PAYAMPS, Rosa Anyeli; ESCALONA CARTAYA, Justo Alberto; PEREZ ACOSTA, Jorge Rafael  and  RODRIGUEZ FERNANDEZ, Zenén. Patients' characterization with severe trauma admitted in the General Surgery Service. MEDISAN [online]. 2016, vol.20, n.1, pp.16-27. ISSN 1029-3019.

A descriptive serial cases study of 137 patients with severe traumatic lesions, admitted in the General Surgery Service of "Saturnino Lora Torres" Teaching Provincial Clinical Surgical Hospital in Santiago de Cuba was carried out, during the biennium 2012-2014, aimed at characterizing them according to selected variables and to estimate the index of mortality and their causes. In the case material the 25 to 44 years patients from male sex prevailed, as well as those attacked with stab weapon. There was a good coincidence between the diagnostic tools and the surgical findings. The most commonly injured organ was the spleen, as long as the greatest complication found and direct death cause was the hematogenic shock. The patients with severe trauma have a high mortality; they require an early, intensive and multidisciplinary treatment, included in the concept of resuscitation for damages control

Keywords : severe trauma; morbidity; mortality; damages control; secondary health care.

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