-
Something wrong with this record ?
The occurence and detection of hemodynamically significant bleeding into the retroperitoneum in patients dying due to blunt traumatic-haemorrhagic shock
Jan Simek, Karel Smejkal, Martin Frank, Jan Trlica, Tomas Holecek, Milan Kaska, Jaromir Koci, Jiri Paral, Tomas Dedek
Language English Country Czech Republic
Document type Observational Study
Digital library NLK
Source
NLK
ROAD: Directory of Open Access Scholarly Resources
from 2011
- MeSH
- Shock, Hemorrhagic MeSH
- Hemorrhage * diagnosis etiology therapy MeSH
- Middle Aged MeSH
- Humans MeSH
- Tomography, X-Ray Computed methods MeSH
- Multiple Trauma MeSH
- Abdominal Injuries complications therapy MeSH
- Prognosis MeSH
- Retroperitoneal Space * surgery pathology MeSH
- Shock, Traumatic MeSH
- Wounds, Nonpenetrating MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Publication type
- Observational Study MeSH
Background: The occurrence of retroperitoneal bleeding and the manner of detection was retrospectively evaluated in patients with life-threatening traumatic bleeding. Methods: The cohort included patients who died in the Trauma Centre of the University Hospital Hradec Kralove in Czech Republic between 2008 and 2012 due to traumatic hemorrhagic shock. Findings of retroperitoneal bleeding and the findings found for life (i.e., CT, FAST, pre-operative findings) were compared. Results: During the five-year period, deaths due to the post-mortem diagnosis of traumatic hemorrhagic shock were recorded in 75 patients, 26 of which (35%) were verified by post-mortem autopsy to have hemodynamically significant bleeding into the retroperitoneum (HSBR) from 31 sources. HSBR was identified for life in 10 patients with HSBR (38.5%). Sensitivity was 55% in CT angiography and 36% in laparotomy without previous CT. The sensitivity of laparotomy with surgical exploration of the retroperitoneum was 67%. A predisposing factor for hemodynamically significant bleeding into the retroperitoneum, which may escape the surgeon’s attention, is high-energy blunt trauma to the trunk. Conclusions: In the acute stage of treatment of patients with life-threatening bleeding due to high-energy blunt trauma, the surgeon has to decide whether the patient’s condition allows CT and whether hematoma of the retroperitoneum should be revised surgically. However, in the present cohort few patients with HSBR underwent surgical exploration of the retroperitoneum because the hematoma was ascribed to the known injury of the pelvis and spine.
Department of Emergency Medicine University Hospital Hradec Kralove Czech Republic
Department of Surgery University Hospital Hradec Kralove Czech Republic
Faculty of Medicine in Hradec Kralove Charles University Prague Czech Republic
References provided by Crossref.org
Literatura
- 000
- 00000naa a2200000 a 4500
- 001
- bmc19024795
- 003
- CZ-PrNML
- 005
- 20200328093917.0
- 007
- ta
- 008
- 190704s2019 xr f 000 0|eng||
- 009
- AR
- 024 0_
- $a 10.31482/mmsl.2018.034 $2 doi
- 040 __
- $a ABA008 $d ABA008 $e AACR2 $b cze
- 041 0_
- $a eng
- 044 __
- $a xr
- 100 1_
- $a Simek, Jan $u Department of Military Surgery, Faculty of Military Health Sciences, University of Defence, Hradec Kralove, Czech Republic; Department of Surgery, University Hospital Hradec Kralove, Czech Republic
- 245 14
- $a The occurence and detection of hemodynamically significant bleeding into the retroperitoneum in patients dying due to blunt traumatic-haemorrhagic shock / $c Jan Simek, Karel Smejkal, Martin Frank, Jan Trlica, Tomas Holecek, Milan Kaska, Jaromir Koci, Jiri Paral, Tomas Dedek
- 504 __
- $a Literatura
- 520 9_
- $a Background: The occurrence of retroperitoneal bleeding and the manner of detection was retrospectively evaluated in patients with life-threatening traumatic bleeding. Methods: The cohort included patients who died in the Trauma Centre of the University Hospital Hradec Kralove in Czech Republic between 2008 and 2012 due to traumatic hemorrhagic shock. Findings of retroperitoneal bleeding and the findings found for life (i.e., CT, FAST, pre-operative findings) were compared. Results: During the five-year period, deaths due to the post-mortem diagnosis of traumatic hemorrhagic shock were recorded in 75 patients, 26 of which (35%) were verified by post-mortem autopsy to have hemodynamically significant bleeding into the retroperitoneum (HSBR) from 31 sources. HSBR was identified for life in 10 patients with HSBR (38.5%). Sensitivity was 55% in CT angiography and 36% in laparotomy without previous CT. The sensitivity of laparotomy with surgical exploration of the retroperitoneum was 67%. A predisposing factor for hemodynamically significant bleeding into the retroperitoneum, which may escape the surgeon’s attention, is high-energy blunt trauma to the trunk. Conclusions: In the acute stage of treatment of patients with life-threatening bleeding due to high-energy blunt trauma, the surgeon has to decide whether the patient’s condition allows CT and whether hematoma of the retroperitoneum should be revised surgically. However, in the present cohort few patients with HSBR underwent surgical exploration of the retroperitoneum because the hematoma was ascribed to the known injury of the pelvis and spine.
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a lidé středního věku $7 D008875
- 650 12
- $a retroperitoneální prostor $x chirurgie $x patologie $7 D012187
- 650 12
- $a krvácení $x diagnóza $x etiologie $x terapie $7 D006470
- 650 _2
- $a počítačová rentgenová tomografie $x metody $7 D014057
- 650 _2
- $a poranění břicha $x komplikace $x terapie $7 D000007
- 650 _2
- $a tupá poranění $7 D014949
- 650 _2
- $a hemoragický šok $7 D012771
- 650 _2
- $a traumatický šok $7 D012774
- 650 _2
- $a prognóza $7 D011379
- 650 _2
- $a polytrauma $7 D009104
- 655 _2
- $a pozorovací studie $7 D064888
- 700 1_
- $a Šmejkal, Karel $7 xx0205391 $u Department of Military Surgery, Faculty of Military Health Sciences, University of Defence, Hradec Kralove, Czech Republic; Department of Surgery, University Hospital Hradec Kralove, Czech Republic
- 700 1_
- $a Frank, Martin $7 xx0139179 $u Department of Surgery, University Hospital Hradec Kralove, Czech Republic
- 700 1_
- $a Trlica, Jan $7 xx0237756 $u Department of Surgery, University Hospital Hradec Kralove, Czech Republic
- 700 1_
- $a Holeček, Tomáš $7 xx0093287 $u Department of Surgery, University Hospital Hradec Kralove, Czech Republic
- 700 1_
- $a Kaška, Milan, $d 1951- $7 xx0070766 $u Department of Military Surgery, Faculty of Military Health Sciences, University of Defence, Hradec Kralove, Czech Republic; Department of Surgery, University Hospital Hradec Kralove, Czech Republic; Academic Department of Surgery, Faculty of Medicine in Hradec Kralove, Charles University in Prague, Czech Republic
- 700 1_
- $a Kočí, Jaromír, $d 1975- $7 xx0103746 $u Department of Military Surgery, Faculty of Military Health Sciences, University of Defence, Hradec Kralove, Czech Republic; Department of Emergency Medicine, University Hospital Hradec Kralove, Czech Republic
- 700 1_
- $a Páral, Jiří, $d 1963- $7 mzk2008469111 $u Department of Military Surgery, Faculty of Military Health Sciences, University of Defence, Hradec Kralove, Czech Republic; Department of Emergency Medicine, University Hospital Hradec Kralove, Czech Republic; Faculty of Medicine in Hradec Kralove, Charles University in Prague, Czech Republic
- 700 1_
- $a Dědek, Tomáš, $d 1954- $7 xx0063674 $u Department of Surgery, University Hospital Hradec Kralove, Czech Republic; Faculty of Medicine in Hradec Kralove, Charles University in Prague, Czech Republic
- 773 0_
- $t Vojenské zdravotnické listy $x 0372-7025 $g Roč. 88, č. 1 (2019), s. 2-10 $w MED00011116
- 856 41
- $u http://www.mmsl.cz/archive $y domovská stránka časopisu
- 910 __
- $a ABA008 $b A 3 $c 1073 $y p $z 0
- 990 __
- $a 20190704061058 $b ABA008
- 991 __
- $a 20200328094441 $b ABA008
- 999 __
- $a ok $b bmc $g 1421227 $s 1063213
- BAS __
- $a 3
- BMC __
- $a 2019 $b 88 $c 1 $d 2-10 $i 0372-7025 $m Vojenské zdravotnické listy $x MED00011116
- LZP __
- $c NLK197 $d 20200328 $a NLK 2019-38/vt
