Blunt Injuries of the Small Intestine in Maharat Nakhon Ratchasima Hospital
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Abstract
Background: Small intestine injury can be found 3.5-15.0 percent of blunt abdominal trauma, it mostly affects the jejunum and major cause is traffic accident. Aim: To study the cause and location of small intestinal injury from blunt abdominal trauma in Maharat Nakhon Ratchasima Hospital. Patients & Method: Retrospective study from medical records of the patients who were operated due to small intestinal injury from blunt abdominal trauma in Maharat Nakhon Ratchasima Hospital during year 2002-2006. Results: During the study period, there were 1,536 patients having abdominal trauma and surgery. Of these, 1,208 patients (79.0%) had blunt abdominal trauma. The most common cause of injuries were traffic accident (81.0%). The locations of small intestinal injuries were jejunum, ileum and both, 159, 78 and 5 patients respectively. The postoperative complication was found 64 patients (27.0%) and death 21 patients (8.9%) and the major cause of death was infection. Conclusion: Blunt abdominal traumatic patients in Maharat Nakhon Ratchasima Hospital were mostly from traffic accident especially motorcycle related and small intestinal injury was found 19.6 percent.
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