الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 81 |  |  |
| | | from | 81 | | |
Abstract
Trauma is the forgotten epidemic and the neglected disease of modern society. The management of poly-trauma patients is a complex process requires broad knowledge, sound judgment and leader capabilities.
Blunt chest trauma is catastrophic event that leads to morbidity and mortality. Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. Identifying of serious intra-abdominal pathology is often challenging.
The aim of this study is to report the incidence rate of blunt thoraco-abdominal blunt poly trauma patients.
The present study is prospective study was performed on patients admitted to the Emergency Department of the Alexandria Main University Hospital for a period of six months suffered from poly-trauma and had thoracoabdominal injuries; our aim was to report the incidence rate of blunt thoracoabdomninal injuries in blunt ploy-trauma patients.
In this study 655 patients suffered from blunt poly trauma; 65 patients had thoraco-abdominal injuries accounts (9.92%). In the present study it was observed that the majority of blunt thoraco-abdominal injured victims were in the age group of 11-20 years.
Regarding gender distribution there were 54 males (83%) and 11 females (16.7%) where males outnumbered females in a ratio of 4.9:1.
RTA was the most common mechanism of injury in our study and most of them were pedestrians.
Tertiary survey of poly-trauma patients revealed that 35 patients were initially presented by thoracic trauma; abdominal injuries were discovered during further assessment with imaging study. Thirteen patients were initially presented with abdominal injuries; thoracic injury discovered later on during further imaging studies were done to assess the abdominal injury. Four patients only were initially presented with both thoraco-abdominal injuries. Most of thoraco-abdominal injured patients were stable; two of them needed oro-endotracheal intubation, 14 of them needed intercostals tube insertion. In our current study 41 patients suffered from simple fracture ribs, 13 patients had pneumothorax; it was the most common pleural lesion. As regard the abdominal injuries, the splenic injury was the most common account for (64.6%).
Six patients needed CT imaging for further assessment of their lesions accounting (9.2%).
As regard the different types of management in this study ;( 95.3%) of patients were treated conservatively, one patient undergo immediate surgery, one patient started conservative management then went to OR. Mortality rate among the studied group was (1.5%).