[Analysis of immediate causes of mortality in the injured persons, suffering open hepatic injury on a prehospital stage].
Klinichna khirurhiia · 2014-08-01 · Observational study
Abstract
The results of a medical help delivery on prehospital stage to 200 injured persons, suffering penetrating abdominal wounding with hepatic damage, were analyzed. The main cause of death in 87.5% of the injured persons with open hepatic damage is a non-compensated blood loss, in 12.5%--traumatic shock and a prehospital stage duration. In accordance to data of the expert estimation, the anesthesiologic adequacy have constituted in the group of survivors--80.76%, and in those, who died--68.75%, confirming a very high level of the anesthesy adequacy. Level of adequacy of the blood loss compensation have constituted in group of survivors--57.69%, and in the group of patients, who died--37.50%, what could not be considered satisfactory. In patients--survivors a conditional adequacy of application of hemostatics have constituted 76%, and in a group of the injured persons, who have died--0.