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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
5
|
| pubmed:dateCreated |
1991-11-18
|
| pubmed:abstractText |
The authors review the use of diagnostic peritoneal lavage (DPL) at The Montreal General Hospital between 1982 and 1987. Fifty-two of 254 patients admitted with a diagnosis of blunt abdominal trauma underwent DPL: results of the procedure were negative in 23 and positive in 29 (grossly positive in 27). Twenty-one of the 23 patients with negative findings were managed nonoperatively; the other 2 underwent laparotomy, which revealed no abnormalities. Nineteen of the 29 patients with positive findings were managed by immediate laparotomy; the other 10 were managed conservatively. The mean (+/- standard deviation) injury severity score (ISS) in the latter group was 13.1 +/- 8.01. The group managed by immediate laparotomy had an ISS of 25.91 +/- 12.81 (p = 0.007). The number of patients suffering from class I or class II shock in the group managed nonoperatively was significantly (p = 0.045) larger than those in the group managed by laparotomy. The authors conclude that a positive result DPL is not a sine qua non for immediate laparotomy in all patients with blunt abdominal trauma. A selective approach can be taken in these patients, considering the severity of the associated injuries and the patient's hemodynamic status. Intensive-care monitoring must be available.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Oct
|
| pubmed:issn |
0008-428X
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
34
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
442-5
|
| pubmed:dateRevised |
2007-8-16
|
| pubmed:meshHeading |
pubmed-meshheading:1913386-Abdominal Injuries,
pubmed-meshheading:1913386-Adult,
pubmed-meshheading:1913386-Blood,
pubmed-meshheading:1913386-Female,
pubmed-meshheading:1913386-Hospitals, General,
pubmed-meshheading:1913386-Humans,
pubmed-meshheading:1913386-Injury Severity Score,
pubmed-meshheading:1913386-Laparotomy,
pubmed-meshheading:1913386-Male,
pubmed-meshheading:1913386-Peritoneal Lavage,
pubmed-meshheading:1913386-Shock, Hemorrhagic,
pubmed-meshheading:1913386-Wounds, Nonpenetrating
|
| pubmed:year |
1991
|
| pubmed:articleTitle |
Is positive diagnostic peritoneal lavage an absolute indication for laparotomy in all patients with blunt trauma? The Montreal General Hospital experience.
|
| pubmed:affiliation |
Department of Surgery, Montreal General Hospital, McGill University, Que.
|
| pubmed:publicationType |
Journal Article
|