摘要：Background: Abdominal trauma is a frequent indication for surgical exploration of the combat causality.Rapid transportation to trauma center,early recognition of injuries,sound surgical judgment,and timely intervention are critical for reducing mortality and morbidity.Patients and Methods: All penetrating abdominal trauma (PAT) cases admitted to a combat zone hospital from January 2014 to December 2016 were studied.Results: Forty-eight patients with PAT were evaluated and managed.Majority (66.7%) were secondary to gunshot injuries.Forty-one required operative management.Out of these,6 (12.5%) underwent diagnostic laparoscopy and 35 (72.9%) required laparotomy.The small intestine was the most commonly injured organ which was encountered in 21 (43.7%) cases.Two (4.2%) patients succumbed to their injuries.Early resuscitation in combat zone followed by prompt evacuation to the combat hospital improved the overall outcome.Conclusion: PAT is a common cause of morbidity and mortality in combat areas.Rapid transportation,sound clinical judgment,and early surgical intervention are critical for patient survival and better outcomes.
关键词：Combat zone;damage control surgery;focused assessment by sonography for trauma;penetrating abdominal trauma
