Material şi metode: Studiul prospectiv (2011-2014), 36 pacienţi traumatizaţi cu hemoperitoneu, LL (leziuni lienale) – 28 (77,8%), închise – 27 (96,4%), deschise – 1 (3,6%) şi LH (leziuni hepatice) – 8 (22,2%), închise – 8 (87,5%), deschise – 1 (12,5%); izolate – 7 (19,4%), asociate – 29 (80,6%); B:F/2:1; valorile medii: ani=38,64±14,26, RTS (Revised Trauma Score)=9,33±1,18; ISS (Injury Severity Score)=24,91±13,4. Stabilirea diagnosticului: USG – 36 (100%), TC – 29 (80,56%), laparoscopie – 5 (13,89%), laparocenteză – 3 (8,33%). Rezultate: LL (AAST-The American Association for the Surgery of Trauma): gr.I (1), gr.II (11), gr.III (13), gr.IV (2), gr.V (0); LH (AAST): gr.I (8), gr.II (3), gr.III (5), gr.IVVVI (0); LL asociate cu LH - 8 cazuri. Politraumatizaţi cu ISS>25 au constituit 18 (50%). Intervenţii chirurgicale extraabdominale – 10 (27,78%): Prelucrarea primară a plăgilor – 3 (30%), toracocenteză – 3 (30%), osteosinteză – 3 (30%), traheostomie – 1 (10%). Complicaţii în urma tratamentului manifestate au fost 20 la 15 (41,67%) pacienţi: 8 (40%) pacienţi cu LL, 3 (37,5%) cu LH izolate şi 4 (50%) - LL+LH. Structura comlicaţiilor: complicaţii pleuropulmonare – 15 (75%), cistită postcater – 1 (5%), otită medie – 1 (5%), embolie lipidică – 1 (5%), hemoragie digestivă – 1 (5%), poliurie – 1 (5%). Toţi pacienţii cu complicaţii pleuro-pulmonare (100%) au suferit traumatism toracic, pacientul cu embolie lipidică a suferit traumatism locomotor grav. Concluzii: Conduita nonoperatorie a pacienţilor traumatizaţi şi politraumatizaţi cu hemoperitoneu se prezintă, în general benefică, iar complicaţiile de pe urma tratamentului sunt în mare măsură cauzate de traumatismele extraabdominale.

Materials and methods: Prospective study (2011-2014), 36 trauma patients with hemoperitoneum, SL (Splenic Lesion) – 28 (77,8%), blunt – 27 (96,4%), stab – 1 (3,6%) and LT (Liver Trauma) – 8 (22,2%), blunt – 8 (87,5%), stab – 1 (12,5%); isolated – 7 (19,4%), associated – 29 (80,6%); M:F/2:1; average values: age=38,64±14,26, RTS (Revised Trauma Score)=9,33±1,18; ISS (Injury Severity Score)=24,91±13,4. Diagnosis establishment: USG – 36 (100%), CT – 29 (80,56%), laparoscopy – 5 (13,89%), laparocentesis – 3 (8,33%). Results: SL (AAST-The American Association for the Surgery of Trauma): gr.I (1), gr.II (11), gr.III (13), gr.IV (2), gr.V (0); LT (AAST): gr.I (8), gr.II (3), gr.III (5), gr.IV-V-VI (0); SL associated with LT - 8 cases. 18 (50%) polytrauma patients had ISS>25. Extra abdominal surgical interventions – 10 (27,78%): wound management – 3 (30%), thoracocentesis – 3 (30%), osteosynthesis – 3 (30%), tracheostomy – 1 (10%). It was noted 20 complications in 15 (41,67%) patients after treatment applied: 8 (40%) in patients with isolated SL, 3 (37,5%) in patients with isolated LT and 4 (50%) - SL+LT. Complications structure: pleuropulmonary complications – 15 (75%), catheter-associated urinary tract infection – 1 (5%), otitis media – 1 (5%), fat embolism – 1 (5%), digestive hemorrhage – 1 (5%), polyuria – 1 (5%). All patients (100%) with pleuropulmonary complications suffered thoracic trauma. The patient with fat embolism suffered severe locomotory trauma. Conclusions: The nonoperatory approach in trauma and polytrauma patients is, mainly beneficial, while complication after treatment applied are mostly caused by extra abdominal trauma.