NON-THERAPEUTIC OPERATIONS FOR PENETRATING TRAUMA - EARLY MORBIDITY AND MORTALITY

被引:56
作者
DEMETRIADES, D [1 ]
VANDENBOSSCHE, P [1 ]
RITZ, M [1 ]
GOODMANN, D [1 ]
KOWALSZIK, J [1 ]
机构
[1] UNIV WITWATERSRAND, BARAGWANETH HOSP, DEPT SURG, JOHANNESBURG 2001, SOUTH AFRICA
关键词
D O I
10.1002/bjs.1800800716
中图分类号
R61 [外科手术学];
学科分类号
摘要
A prospective study was carried out to assess the incidence and type of complications after non-therapeutic operations for penetrating trauma. A total of 372 operations were performed on 368 patients with penetrating injuries to the abdomen (240 procedures), chest (49), neck (48) and extremities (35). There were 46 negative or non-therapeutic operations. The incidence of major complications directly related to anaesthesia or operation in this group of patients was 4 per cent (two patients). The operation might have contributed to a further three major complications. The mean hospital stay for patients undergoing uncomplicated non-therapeutic operation was 4.1 days; for those with complications it was 21.2 days. It is concluded that non-therapeutic operations for penetrating trauma carry a significant morbidity rate. A policy of selective conservatism is advocated.
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页码:860 / 861
页数:2
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