Javed Naeem Qureshi, Zahid Ali Qureshi, Parkash Arm, Abdul Sattar Memon.
Gunshot Perforation of Gut and Associated Injuries.
J Surg Pak Jan ;6(2):21-3.

A prospective study of 70 cases of traumatic perforation of gut was carried out at Liaquat Medical College Hospital during January 1995 to December 2000. Males were the common victims with a ratio of 9:1 to women. Viscera other than intestines were involved in 9596 cases. Liver and thoracic injuries were common concomitant injuries. Due to delay in transportation to hospital 2596 patients die before any form of treatment could be given. Complication rate with multiple injuries involving intestine at more than two places was high. Mortality was 20.596 in patients with multiple organ injuries as compared to 296 with isolated intestinal perforations. Delay in transportation of patients, inadequate resuscitation, hypovolaemia, hypoxaemia and multiple injuries involving vital organs were the main causes of death. Patients who die from multiple injuries had significant thoracic injuries. 8096 of deaths are due to intracardiac injuries.

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