摘要:

Hypertension has been observed to occur frequently in children with burns. In a series of children admitted to the St. Agnes Burn Treatment Center, sustained systolic and diastolic hypertension occurred in 31.5%, and 57.4% of the children demonstrated episodic periods of hypertension which were unsustained. The only clinical finding which significantly correlated with the hypertension was the presence of tachycardia, which persisted into the late healing phase of the thermal injury. Hypertension was more prevalent at younger ages. However, there was no other correlation of the development of hypertension with sex, race, or extent of thermal injury. The development of hypertension in itself did not worsen the prognosis for survival in the cases presented in this series. Possible pathogenic mechanisms which result in hypertension (elevated catecholamines, norepinephrine, renin secretion) are discussed.

ISSN:0022-5282    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

Both short and longterm effects of positive end-expiratory pressure (PEEP) on oxygenating capacity (OC) were investigated in three groups of patients with acute respiratory failure following multiple trauma (MT). Group A consisted of six patients with “uncomplicated” MT; Group B, eight patients with MT and generalized sepsis; Group C, nine patients with MT and lung contusion. OC was evaluated in terms of PaO2/FIO2and P(A-a)DO2on FIO 2 = 1.0. OC was markedly and equally reduced in the three patient groups before use of PEEP. The use of a mean PEEP of 6–7 cm H2O resulted in an initial improvement in mean PaO2/FIO2of 152.5, 36.1, and 59.2 mm Hg, and an overall improvement of 196.8, 57.5, and 107.0 mm Hg in Groups A, B, and C, respectively. There was a similar improvement in both the initial and the overall effect of PEEP on P(A-a)DO2in the three groups. The difference in the improvement in OC due to PEEP was statistically significant between Groups A and B.It is concluded that acute respiratory failure following MT includes a wide spectrum of clinical syndromes, and that the improvement in OC due to PEEP depends on the clinical syndrome that is responsible for the respiratory failure associated with MT.

ISSN:0022-5282    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

Hemobilia is an uncommon but devastating complication of liver trauma. The recommended treatment is surgical resection of the involved liver lobe, but this is associated with high mortality and morbidity. An alternate treatment using emboli directed selectively into the involved hepatic artery was successful in obliterating the false aneurysm and eliminating the liver cavity. Since arteriography is generally performed during the diagnostic workup of such patients, embolization may provide a simple, safe, and effective treatment for hemobilia.

ISSN:0022-5282    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

An adolescent with blunt injury to the liver was found to have bilobar posterior hepatic laceration. Hemostasis was acheived only after ligation of the hepatic laceration. Hemostasis was acheived only after ligation of the hepatic artery proper. Postoperative liver function changes were minimal and transient. Her recovery was complete.

ISSN:0022-5282    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

The case history of a 45-year-old female patient who sustained a fracture of the right navicular sesamoid bone, probably due to sudden stretching of the tibialis posterior muscle, is described, and the literature briefly reviewed.

ISSN:0022-5282    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1978

数据来源: OVID