Фундаментальная и клиническая медицина (Dec 2017)
DIAGNOSIS OF ABDOMINAL TRAUMA IN KEMEROVO: 20-YEAR EXPERIENCE
Abstract
Aim. To analyze a 20-year experience of Regional Clinical Emergency Hospital with regard to the diagnosis of abdominal trauma. Materials and Methods. We compared the extent and localization of both blunt and penetrating abdominal trauma in 2207 patients admitted to our hospital during 1997-2016. Results. In 2007-2016, an incidence of abdominal trauma reduced by 36.9% compared to 1997-2006. A particular decrease (around 60%) in incidence was found regarding pancreatic, duodenal, kidney, and large vessel injury. Expectedly, penetrating abdominal trauma prevailed over the blunt abdominal trauma (62.8% and 37.2%, respectively). Parenchymal and hollow organs were injured in 54.9% and 34.3% of patients, respectively, while mesenteric and large vessels were damaged in 9.8% of cases. Retroperitoneal trauma was identified in 1-2% of the patients. Conclusion. In Kemerovo, a moderate reduction of abdominal trauma incidence is currently observed.