PRESENT-TIME RESOURCES FOR DIAGNOSTICS OF ABDOMINAL WOUNDS AND TRAUMAS UNDER EMERGENCY CONDITIONS IN THE PACIFIC REGION OF RUSSIA
https://doi.org/10.22328/2413-5747-2017-3-2-47-52
Abstract
The diagnostic effectiveness of clinical, laboratory, instrumental, and surgical methods of diagnostics of internal organs injuries upon abdominal wounds and traumas is considered. Most injured patients (68,1%) were found on admission to exhibit «dim” clinical manifestations of hemorrhage or peritonitis. Only 31,9% of patients exhibit clear symptoms of injuries of their abdominal organs. However, the clinical pictures did not always corresponded to the symptoms. Overdiagnoses based on clinical data were attributed to 51,2% of cases. The sensitivity, specificity, and accuracy of ultrasonic diagnostics of intraperitoneal hemorrhages were estimated to be 51,2%, 88,1%, and 80% respectively. The proposed approach to diagnostics of injuries implies direct laparoscopy when general anesthesia and the instrumental methods of investigation are impracticable. The benefits of this approach include its high diagnostic effectiveness, relative simplicity, minimal demands for instruments and equipment, and the possibility to carry out outdoor examinations, if necessary. As an alternative to laparoscopy, laparocentesis may be employed, if time is pressing and facilities are scarce.
About the Authors
A. K. Soroka
Medical Center of Far-Eastern Federal University
Russian Federation
Vladivostok
Russian Federation
Vladivostok
V. N. Kotelnikov
Pacific State Medical University
Russian Federation
Vladivostok
Russian Federation
Vladivostok
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Review
For citations:
Soroka A.K., Kotelnikov V.N. PRESENT-TIME RESOURCES FOR DIAGNOSTICS OF ABDOMINAL WOUNDS AND TRAUMAS UNDER EMERGENCY CONDITIONS IN THE PACIFIC REGION OF RUSSIA. Marine Medicine. 2017;3(2):47-52. (In Russ.) https://doi.org/10.22328/2413-5747-2017-3-2-47-52
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