[Anesthesiology problems in injuries of the retroperitoneum]

Patients with injured retroperitoneum present a great problem because of difficulties arising in their diagnosis and treatment. The aim of our work was to indicate the approach to such patients for the purpose of establishing the timely diagnostic and adequate treatment. The methods: Polytraumatized patients with retroperitoneal injuries were investigated, who during their treatment had the following complications: hemolysis, disseminated intravascular coagulation, and renal insufficiency. The results indicate the importance of the correct and timely diagnosis and adequate treatment which should, besides operation, also include the prevention of the irreversible phase of the shock, being aware that the body, when being in the state of anoxic molecular cell disease, with disturbed glucose, protein and fat metabolism, cannot function normally to decompose drugs, blood, blood derivates and anaesthetics. Therefore, the reactions of the body during abundant blood transfusions and disturbed process of blood coagulation aggravate the process of treatment. In conclusion, we should emphasize, that, in patients with a retroperitoneal injury, together with all the accessible medical techniques for diagnosing the disease, clinical observation remains the most reliable diagnostic method.