Online ISSN: 2515-8260

To study modalities for evaluating the abdomen after blunt abdominal trauma & severity of injury

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Dr. Sandeep Shrivastava (Asst. Professor)

Abstract

Abstract: Background & Method: This study carried out in Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh. The present study includes 250 cases of blunt abdominal trauma admitted Hospital. On admission to hospital patient s name, age, sex, address, registration number, and, date and time of admission, length of delay in treatment taken noted and Nature of weapon also noted. Result: Maximum patients come after 1 day of injury 83, i.e. 33.2 % and the minimum of the patients 32, i.e. 12.8% came to hospital in between 8-16 hrs of injury. This duration of injury had recorded from the OPD slip of the patients or the direct enquiry made from patients. There were 51 out of 250 patients (20.4 %) of head injury in BAT patient, 53 out of 250 patients (21.2 %) of chest injury, and 17 out of 250 patients (6.8 %) of Extremity injury, 16 out of 250 patients (6.4 %) of facial injury, and 15 out of 250 patients (6.0 %) of pelvis injury. So it is clear that maximum associated extra abdominal injury in BAT patients is chest> head injury and minimal associated extra-abdomanal injury in BAT patients are pelvis injuries. Conclusion: In all blunt abdominal trauma 61.6 % case account for accidental in nature. RTA is the most common mode of injury in the blunt abdominal trauma. Majority of patients83, (33.2%) attend emergency department are after 1 day of injury. Most extraabdominal body region injuries are managed conservatively. Trauma centres should be modernized and fully equipped with emergency drugs and surgical instruments along with adequate manpower.

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