tailieunhanh - Báo cáo hóa học: " Changing patterns in diagnostic strategies and the treatment of blunt injury to solid abdominal organs"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: Changing patterns in diagnostic strategies and the treatment of blunt injury to solid abdominal organs | van der Vlies et al. International Journal of Emergency Medicine 2011 4 47 http content 4 1 47 o International Journal of Emergency Medicine a SpringerOpen Journal REVIEW Open Access Changing patterns in diagnostic strategies and the treatment of blunt injury to solid abdominal organs nmalic I I X Tỉn Hor lioc1 Pimminir i I IO nifho Manno f TỉTỉlzoor k ooc I DritiCQti4 l-f-f-r k l l n rìolHon5 fiiH Cornells H van oei Vlies Dominique C OHIIOI Mcnnu Gaakeer Kees J ronsen Otto M van Delden and J Carel Goslings2 Abstract Background In recent years there has been increasing interest shown in the nonoperdtive management NOM of blunt traumatic injury. The growing use of NOM for blunt abdominal organ injury has been made possible because of the progress made in the quality and availability of the multidetector computed tomography MDCT scan and the development of minimally invasive intervention options such as angioembolization. Aim The purpose of this review is to describe the changes that have been made over the past decades in the management of blunt trauma to the liver spleen and kidney. Results The management of blunt abdominal injury has changed considerably. Focused assessment with sonography for trauma FAST examination has replaced diagnostic peritoneal lavage as diagnostic modality in the primary survey. MDCT scanning with intravenous contrast is now the gold standard diagnostic modality in hemodynamically stable patients with intra-abdominal fluid detected with FAST. One of the current discussions in the literature is whether a whole body MDCT survey should be implemented in the primary survey. Conclusions The progress in imaging techniques has contributed to NOM being currently the treatment of choice for hemodynamically stable patients. Angioembolization can be used as an adjunct to NOM and has increased the success rate to 95 . However to date many controversies exist about the optimum patient selection for NOM the proper role of .