Foley R W, Harris L S, Pilcher D B
J Trauma. 1977 Aug;17(8):611-5.
Hypovolemia continues to be an important cause of death in patients who die as a result of vehicular trauma. Diagnosis and treatment of a series of 127 patients who died with blunt abdominal trauma from automobile accidents during 1969-1974 in Vermont are reported. The most frequent errors in the cases reviewed were failure to recognize and adequately treat hypovolemia, and to appreciate the urgent need for surgery. Death on the X-ray table while allowing persistence of hypovolemia was the common denominator in four of the five victims who died of ruptured spleens in the emergency departments, after having arrived alive following vehicular trauma. Forty-seven per cent of all reported deaths in automobile accidents had blunt abdominal trauma. Of those with blunt abdominal trauma who arrived alive, 26% might have survived with appropriate treatment which should have been available.
低血容量仍然是因车辆创伤死亡患者的一个重要死因。本文报告了1969年至1974年期间在佛蒙特州因汽车事故导致钝性腹部创伤死亡的127例患者的诊断和治疗情况。在所审查的病例中，最常见的错误是未能识别和充分治疗低血容量，以及没有认识到手术的迫切需要。在五名因脾破裂在急诊科死亡的受害者中，有四名在车辆创伤后活着到达，但由于低血容量持续存在而死在X光检查台上。在所有报告的汽车事故死亡病例中，47%有钝性腹部创伤。在那些钝性腹部创伤且活着到达的患者中，26%若得到本应具备的适当治疗可能存活下来。
