بررسی ضایعات ناشی از تروما در ارگانهای داخل شکمی

ABSTRACT One thousand patients with blunt or penetrating trauma, admitted to Poursina Hospital were evaluated concerning the clinical presentations, special diagnostic procedures, management modalities, and the rate of morbidity and mortality.during a 4 year period since 1373 to 1376.Male to female ratio was 9:1. The type of injury was blunt in 688 cases and penetrating in the remaining 312 patients. This work revealed that out of 288 patients with blunt trauma which were managed by mandatory modality,there were 51 cases of negative laparotomies, and 52 missed intra abdominal lesions. It was also concluded that selective operative management on the basis of the peritoneal lavage, CT scan,sonography and IVP findings,was associated with a high percentage of negative laparotomies in this medical center.The rates of morbidity and mortality were higher than those in control group.