Infectious Complications of Abdominal Wall Damage with a Car Seat Belt. The Experience of Treatment in Four Patients

Seat belt syndrome is a triad of symptoms: body belt marks (hemorrhages, ecchymosis, abrasions on the abdominal wall), intra-abdominal trauma and spinal fractures in the thoracic and lumbar spine. The abdominal mark of a safety belt implies a complex diagnostic algorithm to exclude injury to the int...

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Bibliographic Details
Main Authors: A. G. Lebedev, T. P. Makedonskaya, V. D. Levitsky, A. V. Sachkav, N. V. Shavrina, O. K. Kaloyeva, P. A. Yartsev
Format: Article
Language:Russian
Published: Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department 2019-08-01
Series:Неотложная медицинская помощь
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Online Access:https://www.jnmp.ru/jour/article/view/639
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Summary:Seat belt syndrome is a triad of symptoms: body belt marks (hemorrhages, ecchymosis, abrasions on the abdominal wall), intra-abdominal trauma and spinal fractures in the thoracic and lumbar spine. The abdominal mark of a safety belt implies a complex diagnostic algorithm to exclude injury to the intraabdominal organs and the abdominal wall. The clinical picture of damage is not specific, which leads to errors in diagnosis or delays at the beginning of the examination protocol. A dynamic examination of the patient (ultrasound, CT, X-ray) is necessary. The damage to the abdominal wall with a seat belt, which entailed the development of septic complications, require long-term general and local treatment, additional diagnostic methods and surgical interventions.
ISSN:2223-9022
2541-8017