title: [Performance following liver, spleen and intestinal ruptures].
abstract: In order to extend the knowledge about posttraumatic possibility of action after blunt abdominal traumas, 34 patients mostly having sustained isolated ruptures of the liver, spleen and the intestines, were interviewed after their recovery; the results obtained were separated by the organs involved. Essential result: In general, there is a close correlation between the acuteness of pain, the patient's assessment of severity of the injury and the degree of the ability to act during the first posttraumatic minutes. In the further course of the injury, the capacity to act was limited by the extent and the developmental speed of the loss of blood into the abdominal cavity, provided that it was not limited or cancelled primarily by the acuteness of pain. No correlation could be detected between the extent of rupture and the acuteness of pain. The casualties' thoughtful, deliberate behavior was the predominant posttraumatic characteristic. There was a varying posttraumatic clinical picture ranging from freedom from pain to severe pain and non-restricted possibility of action to the inability to act.
authors.affiliation: Institut für Rechtsmedizin, Universität Würzburg.
authors.forename: R
authors.initials: R
authors.lastname: Vock
authors.forename: C
authors.initials: C
authors.lastname: Smola
mesh_terms: D001143:Arousal / Q000502:physiology; D006801:Humans; D015601:Injury Severity Score; D007422:Intestines / Q000293:injuries*; D008099:Liver / Q000293:injuries*; D009043:Motor Activity / Q000502:physiology; D010147:Pain Measurement; D012421:Rupture; D013154:Spleen / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000503:physiopathology*
vernacular_title: Handlungsfähigkeit nach Leber-, Milz- und Darmrupturen.