TRAUMATIC INTRAORGANIC HEPATIC AND SPLENIC HEMATOMAS
https://doi.org/10.24884/0042-4625-2015-174-3-43-49
Abstract
An analysis of application results of complex research methods of diagnostics of intraorganic hepatic and splenic hematomas was made. At the same time, options of these methods were used for determination of prescription of injury. The ultrasound, CT, MR-imaging, videolaparoscopy, angiography, Doppler ultrasonics, impedometry, biochemical, laboratory and cytological study of punctate sample from hematomas were applied for this purpose in 33 patients. According to authors, an evolution of hematomas happened in 3 stages, each of this stage was characterized by specified data associated with investigation results. The staging procedure of hematomas or their evolution allowed setting the prescription of injury.
About the Authors
V. M. Timerbulatov
Bashkir State Medical University
Russian Federation
Russian Federation
A. A. Khalikov
Bashkir State Medical University
Russian Federation
Russian Federation
Sh. V. Timerbulatov
Bashkir State Medical University
Russian Federation
Russian Federation
I. V. Verzakova
Bashkir State Medical University
Russian Federation
Russian Federation
A. M. Amirova
Bashkir State Medical University
Russian Federation
Russian Federation
R. A. Smyr
Bashkir State Medical University
Russian Federation
Russian Federation
References
1. Альперович Б. И., Цхай В. Ф. Лечение травм печени: Материалы IV Междунар. конф. хирургов-гепатологов стран СНГ // Анналы хир. гепатол. 1998. № 3. С. 174.
2. Ермолов А. С., Абакумов М. М., Владимирова Е. С. Травма печени. М.: Медицина, 2003. 246 с.
3. Ермолов А. С., Хубутия М. Ш., Абакумов М. М. Абдоминальная травма: Руководство для врачей. М.: Издательский дом Видар, 2010. 504 с.
4. Зубарев П. Н., Еременко В. П. Тактика хирурга при травме селезёнки и последствия спленэктомии // Вестн. хир. 1990. № 7. С. 55-58.
5. Тимербулатов В. М., Фаязов Р. Р., Хасанов А. Г. и др. Хирургия абдоминальных повреждений. М.: МЕДпресс-информ, 2005. 256 с.
6. Ball S. K., Croley G. G. 2nd. Blunt abdominal trauma. A review of 637 patients // J. Miss. State Med. Ass. 1996. Vol. 37, № 2. P. 465-468.
7. Carrillo E. H., Platz A., Miller F. B. Non-operative management of blunt hepatic trauma // Br. J. Surg. 1998. Vol. 85, № 4. P. 461-468.
8. Feliciano D. V., Mattox K. L., Jordan G. L. Jr. Management of 1000 consecutive cases of hepatic trauma (1979-1984) // Ann. Surg. 1986. Vol. 204, № 4. P. 438-445.
9. Hagiwara A., Yukioka T., Ohta S. Nonsurgical management of patient with blunt hepatic injury: efficacy of transcatheter arterial embolization // Am. J. Roentgenol. 1997. Vol. 169, № 3. P. 1151- 1156.
10. Hauser H., Schweiger W., Uranues S. Behanllangsstrategien beim stumofen Bauchtrauma // Eur. Surg. 2002. Vol. 34. Suppl. 182. P. 45-48.
11. Wilson R. H., Moorehead R. J. Management of splenic trauma // Injury. 1992. Vol. 23, № 1. P. 5-9.
Review
For citations:
Timerbulatov V.M., Khalikov A.A., Timerbulatov Sh.V., Verzakova I.V., Amirova A.M., Smyr R.A. TRAUMATIC INTRAORGANIC HEPATIC AND SPLENIC HEMATOMAS. Grekov's Bulletin of Surgery. 2015;174(3):43-49. (In Russ.) https://doi.org/10.24884/0042-4625-2015-174-3-43-49
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