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PubMed · 7817601

[Multiorgan trauma].

Z Tański·E Pogodski·J Olszewski·W Kucharski
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Abstract

A case is presented of a patient with multiorgan trauma. The main diagnostic problem was coexisting haemorrhage. Curable skin defects were healed after several covering them with intermediate thickness mesh grafts. The postoperative course was complicated with sepsis and acute non-inflammatory renal failure with polyuria.

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Abdominal InjuriesAcute Kidney InjuryAdultHemorrhageHumansMaleMultiple TraumaPostoperative ComplicationsSkin TransplantationSurgical Wound InfectionWounds, NonpenetratingWounds, PenetratingCase ReportsEnglish AbstractJournal Article

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Z Tański, E Pogodski, J Olszewski, W Kucharski. 1994. [Multiorgan trauma].. https://pubmed.ncbi.nlm.nih.gov/7817601/

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[Packing and abbreviated laparotomy in the injured--a life-saving procedure].

Packing of abdominal viscera and abbreviated laparotomy are gaining favor among surgeons for cases with multiple injuries. During a 2-year period, 10 patients required abbreviated exploratory laparotomy for abdominal trauma. The 6 records which were complete form the basis of this study. 3 patients were hypotensive at the scene of injury and in the emergency department. Major vascular injury was encountered in 4. The only procedures attempted at the initial operation were packing bleeding solid viscera and controlling bleeding and fecal spillage. Hypothermia, acidosis and need for massive blood transfusion were indications for terminating exploration without attempting definitive surgery.

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