Tolevska, Violeta and Gligorievski, Antonio and Chabukovska Radulovska, Jasminka and Vasilevska, Violeta (2013) The value of ultrasound in dygnosing and monitoring patients with blunt abdominal injury compared with computerized tomography, clinical process, and the operative finding. Acta Morphologica Medical journal of Macedonian Association of Anatomists and Morphologists (MAAM), 10 (1). pp. 34-41. ISSN 1409-9837
Preview |
Text
Acta morphologica vol 10(1) 2013 prv del.pdf Download (139kB) | Preview |
Preview |
Text
Acta morphologica vol 10(1) 2013 vtor del.pdf Download (341kB) | Preview |
Abstract
Objectives:(s) A complete radiological evaluation of BAT and to emphasize the role and
value of ultrasound and computerized tomography (CT) in expeditious and correct BAT
diagnosis.
Methods:This paper is a prospective study conducted over a 3-year period, during
which 60 patients with anamnesis for tapa abdominal injuries (TAP) were examinedFrom the
total of 60 patients, 39 (65%) were men, 21 (35%) were women, with an average age limit of 2-
81 years and an average age of 22,7 years. An US was carried out on all patients immediately
after admission, as well as more US exams during the first 24 hours. CT exam was carried out
on 44 patients.
Results:All patients had abdominal pain. 21 had defans, 17 patients had symptoms from
associated injuries to other organs and systems, and 12 patients had a clinical picture of shock
status. The diagnostic methods used depend on the condition of the injured person, whether
they are hemodynamically stable or hemodynamically unstable.
From the 60 BAT patients who underwent a US exam, 56 (93%) of them had been
diagnosed with a free liquid in the abdomen. 45 of them also underwent a CT, and the free
liquid was diagnosed in 44 (98%).From the 60 TAP participants, injury to the parenchymal
organs in the abdomen is diagnosed in 51 (85%) with US and in 59 (98%) with CT.
Conclusions:US is limited in detecting vascular injuries and is not always in a condition
to show injuries of the pancreas, suprarenals, intestines, mesenterium and the diaphragm. The
negative US finding does not exclude the parenchyma organs injury. In hemodinamically
instable patients, an important role plays the application of US, which is a very fast and simple
method which detects the parenchyma lesion of the abdominal organs and liquid presence
/hematoperitoneum/, in the abdominal space CT, especially after intravenuos contrast, has a
leading role in diagnosing the parenchyma injuries in BAT, in determining the place and the
injury expanding, but first of all the CT finding enables determining of the further treatment
| Item Type: | Article |
|---|---|
| Subjects: | Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Antonio Gligorievski |
| Date Deposited: | 10 Feb 2021 08:54 |
| Last Modified: | 10 Feb 2021 08:54 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/27669 |
Actions (login required)
 |
View Item |