腹部创伤：墨西哥西部4961例病例的经验
Abdominal trauma: experience of 4961 cases in Western Mexico.
作者信息
Parra-Romero Gustavo, Contreras-Cantero Gabriel, Orozco-Guibaldo Diego, Domínguez-Estrada Andrea, Campo José de Jesús Mercado-Martín Del, Bravo-Cuéllar Luis
机构信息
Servicio de Cirugía Medicina Legal, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, México.
出版信息
Cir Cir. 2019;87(2):183-189. doi: 10.24875/CIRU.18000509.
INTRODUCTION
Trauma is a leading cause of morbimortality in the world. Intraabdominal compartment is the third most affected anatomical region and bleeding from this origin is difficult to identify, therefore the importance to predict possible lesions to the abdominal cavity.
OBJECTIVE
To describe and analyze the sociodemographic profile and injuries found in patients with abdominal trauma in a western hospital in Mexico.
METHOD
Consecutive patients included in the local registry GDL-SHOT were analyzed.
RESULTS
From 4961 patients, 91.4% were men, with a mean age of 28.7 years. Regarding the mechanism of trauma, 39.7% were stab wounds, 33% blunt abdominal trauma and 27.3% gunshots. The most affected organs were: small bowel (20.9%), liver (18.2%), and colon (14.2%). The mean hospital stay was 6.95 days with a mortality of 6.74%.
CONCLUSION
In Mexico, abdominal trauma represents an important cause of morbidity and mortality, especially in young patients. We found an important amount of penetrating trauma.
引言
创伤是全球发病和死亡的主要原因。腹腔是第三大受影响的解剖区域，源自该区域的出血难以识别，因此预测腹腔可能存在的损伤具有重要意义。
目的
描述和分析墨西哥一家西部医院腹部创伤患者的社会人口统计学特征及损伤情况。
方法
对当地登记册GDL-SHOT中纳入的连续患者进行分析。
结果
4961例患者中，91.4%为男性，平均年龄28.7岁。关于创伤机制，39.7%为刺伤，33%为钝性腹部创伤，27.3%为枪伤。受影响最严重的器官为：小肠（20.9%）、肝脏（18.2%）和结肠（14.2%）。平均住院时间为6.95天，死亡率为6.74%。
结论
在墨西哥，腹部创伤是发病和死亡的重要原因，尤其是在年轻患者中。我们发现了大量穿透性创伤。
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