Diagnostic errors at patients with closed spleen ruptures

Автор: Maslyakov Vladimir Vladimirovich, Gromov Mikhail Sergeyevich, Yermilov Pavel Vladimirovich

Журнал: Вестник медицинского института "РЕАВИЗ": реабилитация, врач и здоровье @vestnik-reaviz

Рубрика: Клиническая медицина

Статья в выпуске: 2 (6), 2012 года.

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The analysis of diagnostic errors of 98 patients with traumatic closed spleen ruptures is carried out. Researches show that diagnostics traumatic closed spleen ruptures in most cases causes certain difficulties and a delay with surgical treatment in such patients it is marked in 75,5 % of supervision. The exit from a difficult diagnostic situation is connected with application research methods, thus preference it is necessary to give laparoscopies. As the absolute indication to performance of this research plural damages, and also a coma of the patient serve. In the event that the patient is in consciousness, it is necessary to give preference to methods of research without infringement of integrity of integuments. At this to all patients who have arrived with traumas of a thorax, especially at the left, research of an abdominal cavity should be included in algorithm of inspection without infringement of integrity of integuments for an exception traumatic closed spleen ruptures.

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Closed traumatic rupture of the spleen chreskapsulyarnye, diagnosis, diagnostic errors

Короткий адрес: https://sciup.org/14344008

IDR: 14344008

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