Skip to main content
padlock icon - secure page this page is secure

Open Access Trauma abdominal: estudo das lesões mais frequentes do sistema digestório e suas causas Abdominal trauma: study of the most frequent wounds of digestive system and its causes

Download Article:

The full text article is available externally.

The article you have requested is supplied via the DOAJ. View from original source.

RACIONAL: O trauma abdominal é o sofrimento resultante de uma ação súbita e violenta por diversos agentes. Sua incidência vem aumentando e a gravidade é determinada pela lesão de estruturas vitais do abdome e pela associação com outras lesões. OBJETIVO: Identificar as causas do trauma abdominal, relacionar as vísceras digestivas mais atingidas, a existência de lesões em outras regiões e as suas relações com sexo e faixa etária. MÉTODO: Foram selecionados 34 pacientes do Sistema Único de Saúde com diagnóstico de trauma abdominal, atendidos no período de janeiro de 2005 a setembro de 2005 no Hospital Universitário Evangélico de Curitiba. A coleta dos dados foi realizada com o auxílio de um protocolo previamente elaborado. RESULTADOS: Constatou-se que 91% das vítimas eram do sexo masculino. A faixa etária mais atingida foi a terceira década. Quanto à classificação dos traumatismos, 58,82% apresentaram ferimentos abertos e 41,18% contusões. As quedas foram responsáveis por 44 % das contusões, seguidas por acidentes automobilísticos com 35%. As origens mais comuns dos ferimentos abertos foram aquelas provocadas por armas de fogo em 56% e as por armas brancas em 44% dos casos. Ocorreu lesão no intestino delgado em 31% dos ferimentos abertos, seguido de lesão hepática, cólon e rim, cada uma com 23%. Nas contusões, 60% dos pacientes sofreram ferimentos esplênicos. O tórax foi a região mais associada ao trauma abdominal (31%). CONCLUSÃO: As principais causas de trauma abdominal foram ferimentos por arma de fogo (trauma aberto) e quedas (trauma fechado). As vísceras mais atingidas foram as parenquimatosas (baço e fígado) no trauma fechado e lesão de intestinos, fígado e rins no trauma aberto. A maioria dos pacientes era do sexo masculino com predomínio da terceira década.
BACKGROUND: Abdominal trauma is the distress resulting from a sudden and violent action effected by various agents. Its incidence has been increasing, and severity is determined by injury to vital structures in the abdomen and associated injuries. AIM: To identify the causes of abdominal trauma, the most frequently injured digestive viscera, the presence of injuries in other anatomic regions and the relationship of abdominal trauma to sex and age group. METHOD: Thirty-four patients from the Sistema Único de Saúde [the public healthcare system] were selected, all diagnosed with abdominal trauma and seen from January 2005 through September 2005 at the Hospital Universitário Evangélico de Curitiba. Data collection was performed with the aid of a previously formulated protocol. RESULTS: It was found that 91% of the victims were males. The most affected age group was in its third decade of life. Regarding the classification of traumatic injuries, 58.82% presented with open trauma wounds and 41.18% with contusions. Falls accounted for 44 % of contusions, followed by traffic accidents with 35%. The most common open wounds were caused by firearms in 56% of cases and by knives in 44%. Small intestine injury occurred in 31% of the open wounds, followed by liver, colon and kidney injury, with 23% each. In contusions, 60% of the patients sustained spleen injuries. The thorax was the region most frequently associated with abdominal trauma (31%). CONCLUSION: The leading causes of abdominal trauma were gunshot wounds (penetrating trauma) and falls (blunt trauma). The most frequently injured viscera in blunt trauma were the parenchymatous ones (spleen and liver), and intestines, liver and kidneys in penetrating trauma. Most patients were males, predominantly in their third decade of life.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Document Type: Research Article

Publication date: January 1, 2008

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
X
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more