ICU management of patients with suspected positive findings of diagnostic peritoneal lavage following blunt abdominal trauma.
- Author:
Dong-yuan GOU
1
;
Yan JIN
;
Li-ying CHEN
;
Qi WEI
Author Information
- Publication Type:Journal Article
- MeSH: Abdominal Injuries; diagnosis; Adolescent; Adult; Aged; Aged, 80 and over; Child; Female; Humans; Intensive Care Units; Male; Middle Aged; Peritoneal Lavage; Wounds, Nonpenetrating; diagnosis
- From: Chinese Journal of Traumatology 2005;8(1):46-48
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo explore the management for blunt abdominal trauma victims with probable positive diagnostic peritoneal lavage (DPL) findings.
METHODSData of 76 patients with probable positive DPL findings accepted to ICU in previous 10 years were reviewed. After admission, the patients were evaluated in a settled time according to the protocols of Advanced Trauma Life Support (ATLS). Vital signs were continuously monitored and DPL, ultrasound and/or CT scan were repeated when necessary.
RESULTSEighteen (24%) of 76 patients presented positive DPL findings after repeated DPL. Surgical findings confirmed 7 cases of spleen rupture, 3 hepatorrhexis (infra-Glisson capsule), 4 intestinal perforation, 2 gastric perforation, 1 colon perforation and 1 injured mesentery.
CONCLUSIONSPatients with probable positive DPL findings were admitted to ICU with vital signs continuously monitored. Repeated DPL with supplemental ultrasound and/or CT scan can work together to increase the sensitivity and accuracy of the diagnosis, reduce the rate of exploratory laparotomy, ensure patients' safety and provide a reliable basis for therapeutic operations.
