Volume : 6, Issue : 2, February - 2017

A study on blunt abdominal trauma admitted in JLNMCH, Bhagalpur, Bihar

Dr. Chandra Mohan Sinha

Abstract :

<p>&nbsp;Background: The most common surgical problem coming to the emergency department in our hospital is due to blunt abdominal trauma, which leads to severe morbidity and mortality to the patients. Identification of serious intra-abdominal pathology is often challenging. Many injuries may not manifest during initial assessment and treatment time. The aim of this study is to rapid diagnosis of the condition, work up of the patient, proper management and care to reduce the mobidity and mortality in the patients. Materials and Methods: In this study, 100 cases of blunt abdominal injuries patient admitted in emergency department were taken. Study was done in surgery department of JLNMCH, Bhagalpur, Bihar from January 2016 to December 2016. &nbsp;All cases were registered fulfilled the inclusion criteria and exclusion criteria. Results were analysed statistically. Results: In our study, the commonest age group presented was between 15-25 years of age followed by 25-35 years of age group. Male were more than females. In 70 cases there was intestinal perforation, in 20 cases there was liver injury, in 5 cases splenic injury, in 2 cases injury to kidney, in 1 case there was injury to the pancreas and diaphragm each. Road traffic accident was the commonest cause of the injuries. 90 patients were operated timely. 76 patients survived, 24 patients died. Conclusion: Blunt abdominal trauma is increasing in number due to more road traffic accidents. Ultrasonography was very helpful in diagnosis of the condition for early management. Reduction in mortality rate was found.&nbsp;</p>