[Blunt injury of abdomen as a part of polytrauma.].
In the period from 1 July till 31 August 1998 Central Military Hospital Praha treated 28 multiply injured patients (with polytrauma including blunt injury of abdomen, of which 27 were operated on and 1 patient was treated conservatively. The mean injury severity score was 39.3. CT was used for diagnosis in 21 patients and its total accuracy in the group of patients was 83%. Liver and spleen were injured in 70 % of cases. Of other regions it was the chest (89% of cases) and head (75% of cases) which were most frequently injured. The most imortant for the prognosis of a patient in our group is the injury of head. A successful initial procedure in multiply injured patients (with polytrauma) with a blunt injury of abdomen has to include an intensive antishock treatment, a quick diagnosis and urgent operation, if need be.
Chmátal
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Chirurgické oddelení Ustrední vojenské nemocnice, Praha.
Jarosek
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Lednický
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