Infectious Complications of Abdominal Wall Damage with a Car Seat Belt. The Experience of Treatment in Four Patients
A. G. Lebedev,
T. P. Makedonskaya,
V. D. Levitsky,
A. V. Sachkav,
N. V. Shavrina,
O. K. Kaloyeva,
P. A. Yartsev https://doi.org/10.23934/2223-9022-2019-8-2-194-202
Abstract
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.
About the Authors
A. G. Lebedev
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Aleksandr G. Lebedev - Doctor of Medical Sciences, Chief Researcher of the Department of Emergency Surgery, Endoscopy and Intensive Therapy.
3 Bolshaya Sukharevskaya Square, Moscow 129090
T. P. Makedonskaya
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Tatyana P. Makedonskaya - Candidate of Medical Sciences, Researcher of the Department of Emergency Surgery, Endoscopy and Intensive Therapy.
3 Bolshaya Sukharevskaya Square, Moscow 129090
V. D. Levitsky
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Vladislav D. Levitsky - Candidate of Medical Sciences, Leading Researcher of the Department of Emergency Surgery, Endoscopy and Intensive Therapy.
3 Bolshaya Sukharevskaya Square, Moscow 129090
A. V. Sachkav
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Aleksey V. Sachkov - Candidate of Medical Sciences, Head of the Scientific Department of Acute Thermal Lesions.
3 Bolshaya Sukharevskaya Square, Moscow 129090
N. V. Shavrina
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Natalia V. Shavrina - Researcher of the Department of Emergency Surgery, Endoscopy and Intensive Therapy.
3 Bolshaya Sukharevskaya Square, Moscow 129090
O. K. Kaloyeva
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Olga H. Kaloyeva - Junior Researcher of the Department of Radiology Diagnostics.
3 Bolshaya Sukharevskaya Square, Moscow 129090
P. A. Yartsev
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Pyotr A. Yartsev - Doctor of Medical Sciences, Professor, Head of the Scientific Department of Emergency Surgery, Endoscopy and Intensive Therapy.
3 Bolshaya Sukharevskaya Square, Moscow 129090
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Review
For citations:
Lebedev A.G., Makedonskaya T.P., Levitsky V.D., Sachkav A.V., Shavrina N.V., Kaloyeva O.K., Yartsev P.A. Infectious Complications of Abdominal Wall Damage with a Car Seat Belt. The Experience of Treatment in Four Patients. Russian Sklifosovsky Journal "Emergency Medical Care". 2019;8(2):194-202. https://doi.org/10.23934/2223-9022-2019-8-2-194-202
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