About the author: |
Gasimzade G. Sh. |
Heading |
CLINICAL MEDICINE |
Type of article |
Scentific article |
Annotation |
We examined 94 patients with retroperitoneal bleeding and kidney damage with closed abdominal trauma, the mean age of 33.22 ± 3.44 years. In 47.9% of the injured, the cause of the damage was an accident, 27.7% - a fall from the height, 14.9% - a stomach and waist and 9.6% in a sports jump. The sufferers made ultrasound and spiral CT. Immediately upon entering the presence of free fluid were detected in 87.2 per cent, on the next day - at 9.6% and after another day - 3.2% of sufferers. In 68.1% of cases was determined by the type of impregnation, at 31.9% - type of clots. With ultrasound the fuzzy contours detected in 100% of cases, the heterogeneity of the wheat plant's structure - at 83.3%, the increase in size at 61.1%, subcapsular changes of the parenchyma - in 16.7% of cases. More accurate and extensive information obtained with spiral CT. In patients with suspected HCC and kidney injury ultrasound should be performed immediately upon admission and again within 1-2 days. Spiral CT allows more accurate and clear picture of retroperitoneal bleeding, determine the severity of kidney injury and the condition of the structure of the parenchyma. |
Tags |
retroperitoneal bleeding, injury to kidney, ultrasound, spiral CT scan, free fluid, sonogram |
Bibliography |
- Abakumov M. M. Spiralnaya kompyuternaya tomografiya v diagnostike i lechenii postradavshih s travmaticheskimi zabryushinnyimi krovoizliyaniyami/ M.M.Abakumov, F.A.Sharifullin, T.G. Barmina i dr. // Hirurgiya, - 2011, No.8, s.19-23.
- Gareev R. N. Travmaticheskie zabryushinnyie krovoizliyaniya / R. N. Gareev, R. R. Fayazov // Meditsinskiy vestnik Bashkortostana, - 2013, Tom 8, No.3, S.107-111.
- Yermolaeva N. K. Ultrazvukovaya diagnostika zakryityih povrezhdeniy organov bryushnoy polosti i zabryushinnogo prostranstva / N. K. Yermolaeva, S. S. Maskin, I. M. Shvartsman [i dr.] // Vestnik Volg.GMU, 2013, Vyipusk 1 (45), s.54-57.
- Smolyar A. N. Diagnostika i lechenie povrezhdeniy pochek pri zakryitoy travme / A. N. Smolyar, M.M. Abakumov // Hirurgiya, - 2013, No.5, S. 26-30.
- Trufanov G. E. Ultrazvukovaya diagnostika: rukovodstvo dlya vrachey / G. E. Trufanov, V.V. Ryazanov // - SPb: OOO "FOLIANT", - 2009, 439 s.
- Trufanov G. E. Luchevaya diagnostika / G. E. Trufanov // -Moskva: GEOTAR-Media, - 2012, 496 s.
- Urgentnaya sonografiya pri travme. FAST protocol. Dr.Yuliya, Ukraine, Sonologist, Regional General Hospital, Libya - 2009, http://sonomir.wordpress.com.
- Benjamin E. R. Negative Finding From Computed Tomography of the Abdomen After Blunt Trauma / E.R. Benjamin, S. Siboni, T. Haltmeier, [et al.] // JAMA Surg, 2015, Vol.150, No 12, P.1194-1195.
- Dyakovic N. Травматические повреждения органов мочевыделительной системы / N. Dyakovic, E. Plas, L. Matrinez-Pineiro [et al.] Пер. В.А. Черняева. Европейская Ассоциация урологов, - 2011, 86 с.
- Kimura A. Whole-body computed tomography is associated with decreased mortality in blunt trauma patients with moderate-to-severe consciousness disturbance: a multicenter, retrospective study / A. Kimura, N. Tanaka // J Trauma Acute Care Surg, - 2013, Vol.75, No2, P.202-206.
- Qin R. Diagnosis and treatment of renal trauma 298 patients / R. Qin, P. Wang, W. Qin [et al.] // Clin. J. Traumatol., - 2002, Vol.5, No1, P. 21-23 http://www.nsbi.nlm.nih.gov/pubmed/11835751
- Sierink J. C. Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial / J. C. Sierink, K. Treskes, M. J. Edwards [et al.] // Lancet, 2016, Vol. 388, P. 673-683.
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Publication of the article |
«World of Medicine and Biology» №4(62), 2017 year, 012-015 pages, index UDK 616.381: 616.001 |
DOI |
10.26724/2079-8334-2017-4-62-12-15 |