The report is a retrospective clinical study of 120 patients with abdominal trauma treated at the department of surgery, Seventhday Adventisit Hospital during the period from January 1986 to December 1990.
@ES The results were as follows :
@EN 1) The sex distribution was 88 males and 32 females with significant predominance in male (2.75 : 1) and the age distribution revealed high incidence in third decade (35%) and fourth decade(20.8%).
2) The seasonal distribution was common in spring(28.3%) and autumn(26.7%) but there was no prominant difference in seasonal incidence.
3) The causes of the abdominal trauma were traffic accident(41.9%) in most common, stab wound(28.3%), violence(15%) and fall down(11.7%) in order of frequeny. Among the 120 cases of trauma, blunt trauma were 84 cases(70%) and penetrating trauma
were 36
cases(30%).
4) The clinical menifestations were abdominal pain(92.5%), abdominal tenderness(75%), abdominal rigidity(54.1%), rebound tenderness(50.8%) in order of frequency.
5) The plain films of abdomen showed free air under the diaphragm in 14 cases(23.7%) of 59 cases with hollow viscus rupture.
6) The abdominal paracentesis showed positive in 65 cases(77.4%) among 84 cases and 19 cases(22.6%) had a negative finding. Abdominal paracentesis was one of the valuable diagnostic methods for the blunt abdominal trauma.
7) The injured intraabdominal organs were small bowel(25%), liver(12.8%) and mesentery(9.4%), spleen(8.3%) in order of frequency. Jejunum was the most common site of small bowel injuries.
8) The associated extraperitoneal orgnas were chest injuries(32.9%), upper and lower extremity injuries(29.4%) and pelvic bone fracture(11%) in order of frequency. Hemopneumothorax was the most common in chest injury.
9) Operation was usually performed within 24 hours(84.7%) from trauma and predominent within 6 hours(41.7%).
10) The methods of operative measurement were variable.
11) Blood transfusion was required in 81 cases(67.5%) of 120 cases. Massive transfusion above 6 pints was required in 23 cases(19.1%).
12) Postoperative complication developed in 39 cases(32.5%) of 120 cases, wound infection was the most common complication(12.5%) in order of frequency.
13) The overall mortality rate was 6.7%(8 cases of 120 patients), who had abdominal trauma with multiple injury. The causes of deathe were sepsis 3 cases, hypovolemic shock 3 cases, renal failure 1 case, repiratory failure 1 case.
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