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Query: UMLS:C0000727 (
acute abdomen
)
3,084
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
The results of the use of laparocentesis in 75 patients for the period of 6 years were summarized. As a method for early diagnosis, laparocentesis was used in sufferers with isolated, or associated trauma to the abdomen, severe polytrauma, in absence of consciousness at the state of shock, or
alcohol intoxication
, and as well in patients with acute surgical pathology requiring the emergency operative intervention at difficult for diagnosis situations. Reliability of the method was 97.3%. Laparocentesis performance permitted to diagnose promptly damage to the visceral organs in trauma and establish necessity to use the urgent operation in patients with signs of
acute abdomen
.
...
PMID:[Laparocentesis as a method for early diagnosis and active dynamic observation in acute surgical pathology under the conditions of a district hospital]. 163 90
This paper focuses on 63 cases of syndrome of nonprimary
acute abdomen
(SNPAA) in craniocerebral injury (CCI) sustained in the state of alcoholic intoxication, and 59 observations connected with cranio-abdominal injuries (CAI). In the presence of cerebral injuries, one of the specific characteristics of alcohol was that it entailed changes in the abdominal symptomatology either concealing manifestations of severe damage to the abdominal organs or potentiating SNPAA. In all the observations the abdominal symptomatology was less pronounced that in those victims who do not take alcoholic drinks. There have been identified four variants of SNPAA course. In 12.7% of cases manifestations of the above syndrome were related to the CCI pattern only, being associated with origination of pseudodefense of "truncal" genesis. It is advisable that instrumental methods of study into abdominal organs should come to be more widely used in those settings where there is
alcohol intoxication
with suspected CAI.
...
PMID:[The characteristics of the abdominal symptoms in craniocerebral trauma sustained in a state of alcoholic intoxication]. 947 55
Since bladder injury has no specific clinical symptoms, accurate diagnosis at first consultation is relatively difficult. To elucidate the clinical characters type of injury, clinical symptoms, laboratory findings, methods of therapy and diagnosis, we reviewed 15 patients with bladder injury over a 9-year-period 1990-1998 (10 were traumatic injuries and 5 spontaneous injuries). We found no specific clinical symptom of bladder injury. Bladder injury may occur anywhere in the bladder wall, but most commonly occurred at the dome of the bladder (60.0%). Gross hematuria was not seen in 40.0% of the cases. The accuracy of diagnosis at first consultation was relatively low (46.7%) and the tendency to make a misdiagnosis as
acute abdomen
on digestive organs was found. Of the traumatic injuries 60% were afflicted in the drunken state, so
alcohol intoxication
was considered as an important enviromental factor of bladder injury. Surgical repair of injury sites was employed in 11 cases (73.3%: 7 were intraperitoneal injuries, 4 were extraperitoneal injuries), 4 cases were managed with indwelling urethral catheter. With appropriate treatment, the prognosis is excellent.
...
PMID:[Clinical study of bladder injury]. 1199 4