Neurological and abdominal lesional associations in polytrauma
Köszeghi, I.; Dobrin, N.; Ianovici, N.
Revista Medico-Chirurgicala a Societatii de Medici Si Naturalisti Din Iasi 112(2): 398-405
2008
ISSN/ISBN: 0048-7848 PMID: 19295010 Document Number: 620828
Polytraumatisms have always been a concern in human history, their number increasing especially during wars. Their forecast depends on many factors, starting from means of transportation, first aid's promptitude, technical endowment which evolved a lot within the years. Amongst the thoracal-abdominal, the cranial-cerebral and vertebral-medullary injuries, the cranial-cerebral and the abdominal injuries are the most severe ones. We hereby present the evaluation scales according to various criteria (seriousness, prognosis, clinical valutation). In the case of abdominal and neurosurgical injuries the symptomatology can be modified by addition or defalcation, which may cause diagnostic errors with consequences upon morbidity and mortality. We hereby present a study accomplished within three departments: Piatra Neamţ Emergency Hospital, Piatra Neamţ Coronary Office and Iaşi Neurosurgery Clinic, and we find the injury associations in polytrauma cases. We notice a prevalence of the male sex, of the country people, of traffic accidents, of the active age 20-60 years old. The association within abdominal trauma and neurological injuries is of 16.97% in Iaşi Neurosurgery Clinic. After being solved, the neurological injuries are sent to surgery departments, for solution or surveillance. In order to optimize the medical assistance for traumatized persons we hereby recommend a polytrauma centre establishment.