Les polytraumatismes sont plus graves après chute d’une grande hauteur qu’après accident de la voie publique

Autor: Bruno Riou, Quang Nguyen-Thanh, Christophe Tresallet, Olivier Langeron, Fabrice Menegaux
Rok vydání: 2003
Předmět:
Zdroj: Annales de Chirurgie. 128:526-529
ISSN: 0003-3944
DOI: 10.1016/s0003-3944(03)00208-6
Popis: AIMS: To compare specific features and prognosis of polytrauma victims requiring urgent laparotomy, after a free fall from a height (FFH) or a motor vehicle accident (MVA). PATIENTS AND METHODS: Urgent laparotomy was performed only in case of massive hemoperitoneum associated with hemodynamic instability. Injury severity score (ISS) and hospital mortality rate were used to determine the severity of trauma. RESULTS: Two hundred and four patients underwent urgent laparotomy for blunt abdominal trauma: 79 after FFH (intentional defenestration: 65, accident: 14), and 125 after a MVA. Mean ISS was higher after FFH (39 +/- 11) than MVA (35 +/- 12) (P Language: fr
Databáze: OpenAIRE