[Thoracoabdominal operations in patients with multiple injuries.].
The authors analyze during a two-year period a group of 58 patients with multiple injuries, including a thoracoabdominal injury, with a total mortality of 29 %. The dominating injury was damage of the chest and the most frequent surgical procedure negative pressure drainage of the pleural cavity, as described by Büllau. 82% of the surgical procedures were performed during the acute stage of treatment of the multiply injured patient (unstable patient) within 8 hours after admission to hospital. If peroperative coagulopathy develops, the authors recommend intraabdominal packing, closure of the abdominal cavity and after the patient's stabilization (haemodynamics, ventilation, milieu intérieur) definitive surgical treatment. Key words: polytrauma, peroperative coagulopathy, intraabdominal packing, definitive surgical treatment.
Zelenák
J
J
Chirurgické oddelenie NsP Ruzinov, Bratislava.
Hutan
M
M
Kálig
K
K