Angiography and Peritoneal Lavage in Blunt Abdominal Trauma
作者:
RICHARD WARD,
PRISCILLA MILLER,
DAVID CLARK,
YORAM BENMENACHEM,
JAMES DUKE,
期刊:
The Journal of Trauma: Injury, Infection, and Critical Care
(OVID Available online 1981)
卷期:
Volume 21,
issue 10
页码: 848-853
ISSN:0022-5282
年代: 1981
出版商: OVID
数据来源: OVID
摘要:
Records of 123 consecutive patients who underwent abdominal angiography for blunt trauma were reviewed. Twenty-four patients underwent abdominal angiography on the basis of positive physical findings. Seven (29%) required intervention as determined by angiography and the diagnosis was confirmed. Ninety-nine patients had abdominal angiography in association with angiographic evaluation of the chest, pelvis, head, or extremities. In 14 (14%) the angiogram indicated the need for intervention. In 13 this diagnosis was confirmed at laparotomy. The fourteenth patient was embolized angiographically and did well. Fifty-four patients had peritoneal lavage in addition to their angiograms. Sixteen were positive and 38 were negative. In four patients the lavage was negative and the angiographic findings indicated need for intervention. Three of these four were confirmed at laparotomy and the fourth patient was embolized angiographically.Indications for abdominal angiography in blunt trauma are: 1) incidental to needed thoracic aortography; 2) incidental to angiography when done for pelvic fractures; and 3) suspected intra-abdominal injuries when clinical and lavage data are not definitive.
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