Evaluation of the abdomen in intoxicated patients: Is computed tomography scan or peritoneal lavage always indicated?

摘要: Study objective: To investigate the necessity of intensive evaluation intoxicated patient with normal mentation for intra-abdominal injury after blunt torso trauma. Design: Retrospective study; trauma registry and medical records. Setting: Level I regional center serving a population 2.3 million. Participants: Adult victims more than 17 years old, admitted between January 1, 1986, December 31, 1989, suspected abdominal serum ethanol 100 mg/dL Glasgow Coma Score 15. Intervention: All patients had levels measured in computed tomography (CT) scan abdomen and/or diagnostic peritoneal lavage (DPL). Results: Criteria were met by 92 patients. Eighty-nine underwent CT scans, two DPL, one both. Of complaining pain tenderness on palpation, six (35.3%) blood cavity demonstrated or DPL celiotomy 75 without negative no missed injury. Conclusion: In mentation, physical examination is reliable indicator Elevated alcohol level; per se , should not be considered an absolute indication CT.