How to judge whether there is visceral injury and bleeding?

summary

With the acceleration of the pace of life and the convenience of transportation, there are a lot of accidental vehicle injuries, but some injuries can not be observed through the surface phenomenon. I will introduce how to judge whether there is visceral injury and bleeding.

How to judge whether there is visceral injury and bleeding?

First, according to the time from trauma to shock, the bleeding of visceral injury can be estimated. Abdominal examination can confirm whether there are signs of peritoneal irritation, such as tenderness, muscle tension and rebound pain. If the mobile mixing is positive, the diagnosis can be made;

Second, CT examination is not affected by gastrointestinal inflation, and it is easy to compare before and after, but it can only be used for patients with stable vital signs. Diagnostic laparoscopy can directly look at the internal organs, and may replace conventional laparotomy with minimally invasive surgery.

Third, B-ultrasound can show the shadow of solid visceral rupture and intraperitoneal hematocele. It has high accuracy and can be used as dynamic observation.

matters needing attention

If blood coagulation can not be extracted by diagnostic abdominal puncture, intra-abdominal hemorrhage is confirmed; Diagnostic peritoneal lavage can improve the diagnosis rate.