Diagnostic and treatment features in patients with concomitant abdominal injuries
We analyzed and established diagnostic tactics in patients with concomitant abdominal injuries. In most cases there were combined injuries of two anatomical regions. Combination of injuries of three anatomical regions was in 11,7%. In the total count of concomitant injuries, percentage of abdominal injuries was 11,2%, that included 6,6% combination with limb traumas, 4,6% — with neurotraumas. In case of concomitant trauma the structure of severity was: severe trauma (42%) and extremely severe (30%), mild in 21%, the middle severity was at 7%. Using the nosological approach, we mentioned that most patients had damage of the urinary tract (49,8%). In these injuries there were 35% of kidney contusions, ruptures of the urinary bladder and urethra 13,7%, 1,1% — kidney ruptures. Intraperitoneal bleeding was discovered in 40,3%, in 25,2% it was were liver and spleen trauma, in 15,1% — the mesentery and omentum ruptures. In case of concomitant trauma the range of diagnostics depends on patients’ actual status, and in presence of abdominal injuries, surgical treatment is prior to others.