Features of clinical picture of closed abdominal trauma in patients with simultaneous brain damage

V.A. Chaika

Abstract


Background. According to the literature, the simultaneous detection of damage to the skull and the brain in a patient with closed abdominal trauma happens in the 19.3–38.8 % of cases and ranks second among severe concomitant brain injury. The result of the treatment of combined abdominal and traumatic brain injury in the early period great way depends on the severity of complications of abdominal organs. The aim of our study — to extend the idea of the features of the clinical symptoms of abdominal injury in patients with combined abdominal and brain trauma. Materials and methods. We have analyzed the results of physical examination of 74 patients with combined abdominal and brain injury and compared them with similar clinical manifestations in patients with combined abdominal trauma without brain injury. Results. The features of clinical symptoms of abdominal injuries on a background of brain injury were identified. So, abdominal pain occurred only in 33.80 ± 5.50 % of victims, and the diagnostic accuracy of symptoms of damage to the abdominal organs ranged from 27.6 to 57.9 %. Such signs of internal bleeding, as hypotension and tachycardia, in patients with combined abdominal and brain injury were detected in the range of 43.20 ± 5.76 % to 64.90 ± 5.55 %. Conclusions. It is proved that the incidence of symptoms indicative of the presence of abdominal injury complications, and their diagnostic informativeness are lower compared with similar symptoms in patients with combined abdominal trauma without brain injury.

Keywords


physical examination; combined trauma; symptom

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DOI: https://doi.org/10.22141/1997-2938.1.32.2017.98502

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