Document Detail

Gunshot injuries of the abdominal aorta: a continuing challenge.
MedLine Citation:
PMID:  9274736     Owner:  NLM     Status:  MEDLINE    
This is a retrospective study of 57 patients with gunshot injuries of the abdominal aorta. The aortic repair was achieved by various means: lateral aortorraphy, patch aortoplasty and graft insertion. There was an 85 per cent mortality rate from bleeding or secondary coagulopathy directly related to the aortic injuries. The need for resuscitative thoracotomy, shock, lack of response to fluid resuscitation and intraperitoneal bleeding were directly related to mortality. We feel that shortening of prehospital transfer time will increase the absolute number of patients surviving this grave injury.
E Degiannis; R D Levy; M G Florizoone; T V Badicel; M Badicel; R Saadia
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Injury     Volume:  28     ISSN:  0020-1383     ISO Abbreviation:  Injury     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-09-15     Completed Date:  1997-09-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0226040     Medline TA:  Injury     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  195-7     Citation Subset:  IM    
Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, Johannesburg, Republic of South Africa.
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MeSH Terms
Aorta, Abdominal / injuries*
Blood Coagulation Disorders / etiology,  mortality
Blood Pressure
Hemorrhage / etiology,  mortality
Middle Aged
Retrospective Studies
Time Factors
Transportation of Patients
Wounds, Gunshot / mortality,  surgery*

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