RESEARCH CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS WITH BLADDER RUPTURE BY TRAUMA AT VIET DUC HOSPITAL
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Abstract
Objective: To study clinical and paraclinical characteristics of patients with bladder rupture due to trauma at Viet Duc hospital from January 2014 to September 2020. Methods: Descriptive cross – sectional study combining retrospective and prospective on 67 bladder rupture patients undergone treatment at Viet Duc hospital. Results: The mean age of the patients was 34.5 ± 12.8 years old; Male patient was 82.1%, female patient was 17.9%. Trauma caused of traffic accident was 86.6%, occupational accident was 13.4%; The average time from the patient's accident to hospital admission was 4.08 ± 1.34 hours; The mean time from patient admission to diagnosis was 3.02 ± 1.14 hours; Traumatic shock was 37.3%; X-ray results: Pelvic fracture was 11.9%, intra-abdominal air was 11.9%, intra-abdominal fluid was 4.5%; Computed tomography results: Bladder wall damage was 85.1%, intra-abdominal drainage was 43.3%, pelvic fracture was 40.3%; Combined organ damage: liver damage was 6% , kidney was 1.5%, spleen was 1.5%, colon was 9.0%, pelvis was 40.3%. Conclusion: Bladder rupture by trauma are common with patients in working age, the cause of traffic accident is the majority with the rate of traumatic shock is 37.3% and the combined pelvic fracture is 40.3%
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References
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