Di Chio R, Piemontese F, Remonda G, Massaglia F, Comotti F
Ann Osp Maria Vittoria Torino. 1984 Jul-Dec;27(7-12):227-39.
The authors relate about 107 cases of multiple injuries observed from 1975 to 1984. The causes of trauma, the different injuries caused by trauma, the association of different injuries intra and extra abdominal are examined; the diagnostic procedure, the results obtained, mortality, complications. The studied patients are divided on the basis of the trauma occurred. These data support the position that, in patients with severe multiple injuries, certain criteria, as rapidly increasing abdominal distension or uncorrectable hypotension and isolated rigidity of abdominal wall, eliminate the need for diagnostic examinations and make these procedures unwise waste of valuable time.
作者报告了1975年至1984年间观察到的107例多发伤病例。对创伤原因、创伤所致的不同损伤、腹内和腹外不同损伤的关联进行了研究；还探讨了诊断程序、所得结果、死亡率及并发症。所研究的患者根据发生的创伤进行了分组。这些数据支持这样一种观点，即在严重多发伤患者中，某些标准，如迅速加重的腹胀、无法纠正的低血压以及腹壁单独的强直，无需进行诊断检查，进行这些检查是对宝贵时间的不明智浪费。
