[The effect of clinical, laboratory and radiologic results on treatment decision and surgical results in patients admitted to the emergency department with blunt abdominal trauma due to traffic accident].

Autor:	Güneş Tatar İ; Department of Radiology, Dışkapı Training and Research Hopital, Ankara, Turkey. idilttr@yahoo.com., Yılmaz KB; Department of General Surgery, Dışkapı Training and Research Hopital, Ankara, Turkey., Ergun O; Department of Radiology, Dışkapı Training and Research Hopital, Ankara, Turkey., Balas Ş; Department of General Surgery, Dışkapı Training and Research Hopital, Ankara, Turkey., Akıncı M; Department of General Surgery, Dışkapı Training and Research Hopital, Ankara, Turkey., Deryol R; Department of General Surgery, Dışkapı Training and Research Hopital, Ankara, Turkey., Şeker GE; Department of General Surgery, Dışkapı Training and Research Hopital, Ankara, Turkey., Kulaçoğlu H; Department of General Surgery, Dışkapı Training and Research Hopital, Ankara, Turkey., Hekimoğlu B; Department of Radiology, Dışkapı Training and Research Hopital, Ankara, Turkey.
Jazyk:	turečtina
Zdroj:	Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES [Ulus Travma Acil Cerrahi Derg] 2015 Jul; Vol. 21 (4), pp. 256-60.
DOI:	10.5505/tjtes.2015.29559
Abstrakt:	Background: The purpose of this study was to evaluate the effect of clinical, laboratory and radiological results on treatment decision and surgical results in patients with blunt abdominal trauma, who were admitted to the emergency department due to traffic accident. Methods: Two hundred and twenty-two patients with blunt abdominal trauma were included into this retrospective study. Pearson chi square, Mann-Whitney U test and logistic regression methods were used for statistical analysis. Results: All patients were analyzed by complete blood count and biochemistry and abdominal sonography. Eighty-two patients were also evaluated by CT. Twenty-three patients underwent surgery. Positive findings on physical examination, sonography and CT, increased white blood cell count and liver function tests, decreased hemoglobin were associated with the need for surgery. Discussion: For the surgical evaluation of patients with blunt abdominal trauma, a reliable physical examination is not possible when the patients have concomitant injuries causing disturbing pain, or when the patients are unconscious. Laboratory tests should be interpreted with the clinical and radiologic analysis. Radiologic procedures play an important role in the management of patients with blunt abdominal trauma, especially for intubated patients.
Databáze:	MEDLINE
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