Diagnosis and treatment of abdominal injuries

Results of treatment of 164 patients with combined abdominal trauma were analyzed. It makes sense to evaluate severity of trauma and severity of the patient condition by scales VPKh-MT and VPKh-SP. These scales permit to standardize severity of damages and choose optimum diagnostic and curative algorithm. The emphasis is on early ultrasonic examination of the abdomen in combined trauma. In obscure ultrasonic diagnosis laparoscopy is recommended, in severe or extremely severe condition of patients (over 31 points by scale VPKh-SP)--laparocentesis. Choice and time of surgical interventions must be determined by priority of severity of damage.