INTRAABDOMINAL HEMORRHAGES IN THE EARLY POSTOPERATIVE PERIOD AND THEIR DIAGNOSIS

In the period from 1977 to 1987, after 13,306 operations carried out on the abdominal organs in the clinic, intraabdominal hemorrhages occurred in 34 (0.25 %) patients which had to de maneged by emergency relaparotomy. From analysis of case records (28 taken from the archives and 6 of patients who were under observation) of the relationship between the large number (195) of signs represented by a block of clinicolaboratory and radiological data, an intergal diagnostic criterion of intraabdominal hemorrhages was obtained. The diagnostic significance of the criterion was 98.6%. Its practical application comes to recognition of intraabdominal hemorrhage by identifying the symptoms and syndromes found in the patient with this early postoperative complication with the symptoms and syndromes composing the integral criterion. A revealed integral diagnostic criterion is a concrete indication for undertaking emergency relaparotomy.