METHOD FOR SCREENING DIAGNOSTICS OF INJURY OF HOLLOW ORGAN AT CLOSED INTRA-ABDOMINAL INJURY

摘要

A method for screening diagnostics of injury of hollow organ at closed intra-abdominal injury prescribes determination of the index of leukocytosis in peripheral blood during the first 24 hours from the instant of the closed intra-abdominal injury - at hospitalization and in the process of case monitoring each 4 hours: if the level of leykocytosis is 12.5×10/l, non-invasive case monitoring is continued during 48 hours from the instant of hospitalization, if the level of leukocytosis is 12.6-16.6×10/l, there is need in urgent use of the methods of non-invasive diagnostic monitoring (laparocentesis and laparoscopy with microscopy of aspirate from the abdominal cavity after peritoneal lavage), if the level of leukocytosis is 16.7×10/l, indications are set for urgent laparoscopy for the final verification of the diagnosis and determination of indications for diagnostic laparotomy.