[Neurological and abdominal lesional associations in polytrauma].
Polytraumatisms have always been a concern in human history, their number increasing especially during wars. Their forecast depends on many factors, starting from means of transportation, first aid's promptitude, technical endowment which evolved a lot within the years. Amongst the thoracal-abdominal, the cranial-cerebral and vertebral-medullary injuries, the cranial-cerebral and the abdominal injuries are the most severe ones. We hereby present the evaluation scales according to various criteria (seriousness, prognosis, clinical valutation). In the case of abdominal and neurosurgical injuries the symptomatology can be modified by addition or defalcation, which may cause diagnostic errors with consequences upon morbidity and mortality.


METHODS
We hereby present a study accomplished within three departments: Piatra Neamţ Emergency Hospital, Piatra Neamţ Coronary Office and Iaşi Neurosurgery Clinic, and we find the injury associations in polytrauma cases.


RESULTS
We notice a prevalence of the male sex, of the country people, of traffic accidents, of the active age 20-60 years old. The association within abdominal trauma and neurological injuries is of 16.97% in Iaşi Neurosurgery Clinic. After being solved, the neurological injuries are sent to surgery departments, for solution or surveillance.


CONCLUSIONS
In order to optimize the medical assistance for traumatized persons we hereby recommend a polytrauma centre establishment.
Köszeghi
I
I
Spitalul Judeţean de Urgenţă Piatra Neamţ, Laboratorul de Medicină Legală Piatra Neamţ, Universitatea de Medicină si Farmacie Gr T Popa Iaşi.
Dobrin
N
N
Ianovici
N
N
D000007:Abdominal Injuries / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy; D000328:Adult; D005260:Female; D006801:Humans; D015994:Incidence; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D012383:Romania / Q000453:epidemiology; D014193:Trauma Centers / Q000592:standards; D015599:Trauma Severity Indices; D020196:Trauma, Nervous System / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy