摘要:

Seventy-five patients with penetrating neck injuries were reviewed. A policy of routine neck exploration for all wounds violating the platysma resulted in a 56% negative exploration rate. All patients with serious injuries had overt clinical signs preoperatively. A policy of selective exploration is discussed.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

A case of missile emboli to a major intracranial vessel resulting in fulminant pulmonary edema is reported. A discussion of the etiology of neurogenic pulmonary edema (NPE) is presented. The cause is thought to be a marked increase in pulmonary artery pressure, due to a massive catechol release in the CNS, and possibly secondary to post-capillary sphincteric constriction. Missile emboli to the cerebral arteries should be removed in order to avoid distal embolization and infarction. The case reported appears to represent the first documented case of missile emboli causing NPE.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

Hemobilia should be considered in all cases of blunt or penetrating trauma to the liver, no matter how trivial it may appear, whenever right upper quadrant pain and a persistently elevated alkaline phosphatase level give evidence of an otherwise unexplained biliary obstruction or hepatic mass lesion. Jaundice and evident gastrointestinal bleeding may not appear until late in the course. All available diagnostic modalities should be utilized to confirm the diagnosis, and angiography should be done early whenever the diagnosis is seriously considered. If hemobilia is documented at angiography, an attempt at selective embolization should always be made. Selective angiographic embolization may well save the patient an operative procedure, and appears to be an acceptable method of primary treatment of this condition. A case of hemobilia from penetrating abdominal trauma with successful operative treatment is described.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

Major surgical procedures are now performed with acceptable risk on patients with hemophilia A with pre- and postoperative anti-hemophilic Factor (AHF) infusions. However, there is almost no literature on care of the burned hemophiliac. We recently treated a patient with Factor VIII levels of less than 2% of normal and 45% TBSA burns. A forearm escharotomy was done with hemostatic protection by AHF infusion, but burn therapy, which included operative debridement and successful split-thickness skin grafting, was accomplished without use of AHF. It is concluded that after early loading with cryoprecipitate, burned hemophiliacs do not require continued AHF, because repair and restoration of vascular integrity in small vessels may occur due to platelet plugging and vessel retraction. Tissue thromboplastin may also contribute to clotting in burned hemophiliacs.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

A case of inferior dislocation of the outer end of the clavicle is reported. The clavicle was found beneath the coracoid process and posterior to the intact tendons of the short head of biceps and coracobrachialis. Reduction was achieved by operative lateral retraction of the scapula. Open reduction appears to be the treatment of choice, especially if late, since traction may result in neurologic injury.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID