Trauma in the cirrhotic patient.
Cirrhotic patients requiring emergency abdominal surgery exhibit a significant increase in mortality. Unlike the elective surgical patient in whom there is often the opportunity to control ascites, improve nutritional status, and correct coagulation abnormalities, the trauma patient may need to undergo immediate emergency surgery to control bleeding or contamination. The operation may present significant technical difficulties in achieving hemostasis. Indicators of poor outcome at admission include ascites, hyperbilirubinemia, elevated prothrombin time, multiple injuries, and blunt abdominal trauma requiring celiotomy.
The Trauma Center at Carraway, Carraway Methodist Medical Center, Birmingham, Ala, USA.
K I
KI
Maull
B
B
Turnage
D000328:Adult; D000430:Alcohol Withdrawal Delirium; D001201:Ascites; D015897:Comorbidity; D017809:Fatal Outcome; D006470:Hemorrhage; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications / Q000453:epidemiology; D008297:Male; D009748:Nutrition Disorders; D051437:Renal Insufficiency; D012128:Respiratory Distress Syndrome; D012306:Risk; D012769:Shock; D013514:Surgical Procedures, Operative; D014883:Water-Electrolyte Imbalance; D014947:Wounds and Injuries / Q000150:complications / Q000453:epidemiology / Q000601:surgery*