Traumatismes de la rate dans le service de chirurgie générale du CHU Gabriel Touré View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-09

AUTHORS

B. T. Dembélé, L. Kanté, A. Traoré, A. Togo, I. Diakité, M. Camara, Y. Coulibaly, M. Keita, B. Samaké, G. Diallo

ABSTRACT

Nous avons réalisé une étude rétrospective de janvier 1999 à décembre 2010 incluant tous les patients opérés ou non, hospitalisés pour traumatisme de la rate dans le service de chirurgie générale du CHU Gabriel Touré. Nos objectifs étaient de déterminer la fréquence hospitalière des traumatismes de la rate, décrire les signes cliniques et paracliniques, et analyser les résultats du traitement. Ainsi nous avons enregistré 107 cas de traumatisme splénique, faisant 15,3% des traumatismes abdominaux et 1,1% des urgences abdominales, l’âge moyen était de 23 ans ±4–85, le sex-ratio de 2,68. l’étiologie était dominée par les accidents de la voie publique dans 80 cas (74,8%), suivie par les chutes d’arbre 12 cas (11,2%), les rixes 10 cas (9,3%), les accidents de sport 4 cas (3,7%) et 1 cas d’encornement ; le traumatisme était fermé 99% des cas, et siège dans l’hypochondre gauche dans 89,7% des cas. Le délai moyen admission était de 1,68 heure, et la douleur abdominale était diffuse dans 80,3%. 86 (80,3%) patients étaient hemodynamiquement instables, 44 patients (41,1%) avaient une anémie. La lésion splénique était isolée dans 77,5%. Selon Moore 58 patients (54,2%) étaient classés grade IV. Le traitement non opératoire a été réalisé chez 21 19,7%) patients, la splénorraphie chez 20 patients (18,6%) et la splénectomie chez 63 (58,9%) patients ; la transfusion a été réalisée chez 44,9% des patients. Nous avons noté 4 cas (3,7%) d’abcès de paroi, 1 éviscération, et 5 (4,7%) décès. La durée moyenne d’hospitalisation était de 8,7 jours. Conclusion : les traumatismes rate sont très fréquents en milieu des jeunes, le traitement non opératoire est le gold standard. More... »

PAGES

152-155

References to SciGraph publications

Journal

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12157-014-0542-z

DOI

http://dx.doi.org/10.1007/s12157-014-0542-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1023599010


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