Yıldız Mehmet Kamil, Ozkan Erkan, Odabaşı Hacı Mehmet, Eriş Cengiz, Günay Emre, Abuoğlu Hacı Hasan, Kaya Bulent, Yardımcı Samet, Müftüoglu Ma Tolga, Topaloglu Umit
Department of General Surgery, Haydarpaşa Numune Training and Research Hospital Turkey.
Department of General Surgery, Kanuni Sultan Suleyman Training and Research Hospital Turkey.
Int J Clin Exp Med. 2014 May 15;7(5):1386-90. eCollection 2014.
The purpose of this study was to evaluate the managemant results of patients with penetrating abdominal injuries.
One hundred twenty (120) patients who were admitted to the Emergency Department of Haydarpasa Numune Training and Research Hospital between December 2003 and December 2010 with abdominal stab wounds were included to retrospective study. The data of all patients regarding age, gender, FAST and CT results, injured organs, surgical procedures, length of hospital stay, follow-up were examined. USG findings were classified as follows: true positive (TP), in cases of positive USG findings, and positive laparotomy; true negative (TN), in cases of negative USG findings, and negative physical examination and follow-up findings; false negative (FN), in cases of negative USG findings, and positive laparotomy; and false positive (FP), in cases of positive USG findings, and negative physical examination and follow-up findings. Abdominopelvic CT extended from the lower chest to the symphysis pubis. CT was performed by administering radiopaque agents via intravenous (i.v.) rectal or oral route.
One hundred twenty (120) patients who were admitted to the Emergency Department of Haydarpasa Numune Training and Research Hospital between December 2003 and December 2010 with stab abdominal injuries were hospitalized. According to USG findings, 45.7% were TP, 82.4% were TN, 10.6% were FN, and 34.3% were FP. Thirty-five patients with hemodynamic stability and positive FAST findings and 15 patients with positive hemodynamic stability but negative FAST findings underwent computed tomography.
Serial FAST and CT help guide treatment for stable patients with penetrating sharp injuries to the abdomen.
本研究旨在评估腹部穿透伤患者的治疗结果。
对2003年12月至2010年12月期间因腹部刺伤入住海达尔帕萨努穆内培训与研究医院急诊科的120例患者进行回顾性研究。检查了所有患者的年龄、性别、FAST和CT结果、受伤器官、手术方式、住院时间、随访等数据。超声检查结果分类如下：真阳性（TP），超声检查结果阳性且剖腹探查阳性；真阴性（TN），超声检查结果阴性且体格检查及随访结果阴性；假阴性（FN），超声检查结果阴性但剖腹探查阳性；假阳性（FP），超声检查结果阳性但体格检查及随访结果阴性。腹盆腔CT扫描范围从下胸部至耻骨联合。CT检查通过静脉内（i.v.）、直肠或口服途径给予不透射线造影剂。
2003年12月至2010年12月期间因腹部刺伤入住海达尔帕萨努穆内培训与研究医院急诊科的120例患者住院治疗。根据超声检查结果，45.7%为真阳性，82.4%为真阴性，10.6%为假阴性，34.3%为假阳性。35例血流动力学稳定且FAST检查结果阳性的患者以及15例血流动力学稳定但FAST检查结果阴性的患者接受了计算机断层扫描。
系列FAST和CT有助于指导腹部穿透性锐器伤稳定患者的治疗。
