Traumatic vascular injuries of the neck, thorax and abdomen

Authors

  • Luis R. Rodríguez Delgado Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Carmen M. Pérez Torres Universidad de Ciencias Médicas de Villa Clara
  • Ernesto España Viana Policlínico Universitario Santa Clara
  • Leonila N. Portal Benítez Hospital Universitario Arnaldo Milián Castro
  • Álvaro L. Lagomasino Hidalgo Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Leonel Fuentes Herrera Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Ernesto J. Lagomasino Vergara Hospital Universitario Arnaldo Milián Castro
  • Joaquín Zurbano Fernández Hospital Universitario Arnaldo Milián Castro
  • Roger Mirabal Rodríguez Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Silvia O. González Lemus Hospital Universitario Arnaldo Milián Castro

Keywords:

traumatic vascular injuries, surgical treatment

Abstract

Introduction and Objectives: Vascular injuries have been described since the ancient times. They represent 3 percent of traumatisms; and the most worrisome aspect is their dangerousness, because more than half of the patients die within the first 24 hours due to the hemorrhages they cause. This investigation was carried out with the objective of determining the incidence of the different types of vascular injuries at the Arnaldo Milian Castro Hospital. Method: A retrospective study in 21 patients who were hospitalized with diagnoses of vascular injuries in the neck, thorax and abdomen was carried out. The medical histories of the patients were analyzed, as well as the surgery reports and the necropsy protocols in the case of the deceased. Results: There was a predominance of penetrating wounds in the abdomen (38.9 %) and in the thorax (19.05 %), as well as thoracic and abdominal closed traumas. The accidental cause was present in 57.2 percent of the patients. The most affected anatomical region was the abdomen (42.86 %), and the most used surgical procedure was the exploratory laparotomy (76.2 %).  An average of 1.21 procedures per patient was carried out.  The hypovolemic shock was the complication with the highest incidence, because it appeared in 11 patients (52.38 %), this represents 68.75 percent of all complications. Eleven patients (52.38 %) stayed less than 3 days in hospital. The lesions of the spleen and its vascular pedicle appeared in 23.81 percent of the patients. Conclusions: Penetrating wounds in the abdomen, accidents as a cause of them, and the exploratory laparotomy were predominant. The most affected anatomical area was the abdomen and the hypovolemic shock was the most common complication.

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Published

2010-03-29

How to Cite

1.
Rodríguez Delgado LR, Pérez Torres CM, España Viana E, Portal Benítez LN, Lagomasino Hidalgo Álvaro L, Fuentes Herrera L, et al. Traumatic vascular injuries of the neck, thorax and abdomen. CorSalud [Internet]. 2010 Mar. 29 [cited 2025 Sep. 12];2(1):16-29. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/1101

Issue

Vol. 2 No. 1 (2010)

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ORIGINAL ARTICLES

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