摘要:

This study has analyzed 260 patients with multiple injuries sustained in road accidents admitted to the University Hospital during the period July 1967 to July 1976, in relation to age, sex, and ethnic distribution. The types of injuries sustained have been discussed to highlight their effects on the community in a developing country.The extremities have been most frequently involved, while head injuries followed closely.The causative factors of multiple injury-producing accidents have been evaluated. The categories of victims most liable to multiple injuries have been discussed. The significance of understanding the mechanism of these accidents and the effect of such knowledge in minimizing diagnostic errors, thus enabling management and the urgent need for regional accident services in developing countries, have been stressed.

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A young male presented within hours after closed head injury with hypotension, tachycardia, and polyuria. A diagnosis of post-traumatic diabetes insipidus was made. Although a rare entity, the rapid diagnosis of diabetes insipidus and early treatment with vasopressin may have been life-saving in this case. A detailed approach for treatment with continuous intravenous vasopressin may be the most accurate and efficient method of managing acute onset diabetes insipidus, especially in the hemodynamically compromised patient. This will allow for a controlled fluid management in order to achieve hemodynamic stability and prevent aggravation of cerebral edema.

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

We report two cases of traumatic rupture of the right hemidiaphragm with liver herniation following blunt abdominal trauma. In both, the diagnosis was not immediately suspected, and liver scintigraphy was later diagnostic. Focal elevation of the central portion of the right lobe of the liver was present in both cases. In one case the herniated liver was surrounded by a band-like photon-deficient collar. Liver scintigraphy can be quickly performed by portable technique and may allow for early diagnosis.

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Coverage of full-thickness lower extremity wounds has been the bane of surgeons who care for patients with skin and soft-tissue losses. A prolonged period of convalescence may be avoided by immediate coverage with a gastrocnemius myocutaneous flap. Case reports demonstrating the successful use of medial and lateral gastrocnemius myocutaneous flaps are presented. Advantages are that large amounts of tissue can be moved in one step, shortening hospitalization, and most are reliable because of their excellent blood supply. Care must be taken to preserve deep fascia and to dissect the fascia from the Achilles tendon. Fluorescein examination is recommended.

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Injury to the gallbladder following blunt abdominal trauma is an unusual finding at laparotomy, with a reported incidence of less than 2%. Avulsion from the liver and detachment from both the cystic duct and artery is an extremely rare finding. The condition of the patient and the extent of injuries will dictate the procedure performed. In the case presented, total avulsion of the gallbladder was successfully treated with identification and ligation of the cystic duct, and coagulation of small bleeding points, followed by placement of a Penrose drain.

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A case of traumatic shoulder dislocation associated with a tear of the subscapular artery is presented. The main clinical feature was a dramatic neurologic loss of the brachial plexus, reversed by exploration, evacuation of hematoma, and ligation of the bleeding vessel. Early surgical decompression to achieve neurologic recovery is emphasized.

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID