摘要:

Two-wheeler trauma in developing countries differs in some respects when compared to that in developed countries. A total of 302 cases involved in motorcycle, scooter, and moped accidents were analyzed. There were 201 drivers and 101 passengers. Injury severity scores (ISS), overall number of wounds, and number of fractures were studied. Motorcycle riders had a significantly higher ISS than did scooter riders. Persons involved in collisions with other powered vehicles had 36% more fractures and higher ISS than those involved in accidents where no collision occurred with a powered vehicle. Female passengers, sitting sideways, and involved in collisions, sustained fewer injuries than did a comparable group of male passengers who sat astride; the ISS of female passengers was also lower. Helmet users had a much lower incidence and severity of head injury than riders who did not use helmets. Turbans appeared to offer partial protection from head injury.

ISSN:0022-5282    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Myocardial contusion is becoming more frequently recognized as a concomitant of blunt chest and abdominal trauma. Thromboembolism is an infrequent, but serious, complication of myocardial contusion and management is controversial. We report a case and review the literature of thromboembolism complicating blunt heart injury, and suggest a protocol to prevent this complication.

ISSN:0022-5282    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Ligation of the injured superior mesenteric vein in patients with multisystem trauma has been regarded as a hazardous procedure with a narrow spectrum of indications. We present three patients who underwent ligation of their superior mesenteric veins. A collective review of 33 superior mesenteric vein ligations and 75 superior mesenteric venorrhaphies indicated that ligation of this vein is indeed a valid option when a simple repair cannot easily be performed.

ISSN:0022-5282    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Proximal upper limb amputation not only leads to serious local disability but carries with it substantial systemic implications. The replantation of an avulsed limb is all too frequently followed by disappointing functional results. In children, however, with secure bony stability, vascular reconstruction and immediate appropriate nerve repair the results of replantation can be most gratifying. Two such cases have been seen at The Hospital for Sick Children and are reported in detail. The late functional results as illustrated make this complex procedure a very worthwhile undertaking.

ISSN:0022-5282    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Preoperative percutaneous balloon catheter control of major arterial hemorrhage is a useful technique when the damaged vessel is difficult or dangerous to expose. We report two cases, one with a gunshot wound to the internal carotid artery and one with a ruptured splenic artery aneurysm, in whom this approach was successfully employed to stop hemorrhage, control shock, and allow a precise, controlled vascular exposure and repair.

ISSN:0022-5282    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

A case of entrapment of small bowel in a fracture of the pelvis is presented. It was found on laparotomy in the present case, but contrast enema or computerized tomography have been reported as diagnostic of this rare, lifethreatening condition.

ISSN:0022-5282    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Hyperextension of the cervical spine in the elderly can cause retropharyngeal hematomas. We report this unusual cause of retropharyngeal hematoma in a 77-year-old woman. The airway must be thoroughly evaluated in any such patient in whom this lesion is suspected.

ISSN:0022-5282    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

A rare case of traumatic rupture of a pancreatic pseudocyst is presented. Its unique aspect is definitive pseudocyst drainage via a Roux-en-Y cystjejunostomy at initial laparotomy.

ISSN:0022-5282    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Two young children suffered loss of vision in separate incidents following traumatic asphyxia. Visual loss secondary to trauma can occur from a variety of causes. This is apparently the first description of traumatic asphyxia causing visual loss in children. In children, visual impairment is easily missed unless the degree of handicap is severe. All children should have their fundi and visual acuity assessed before discharge following significant trauma, including all episodes of traumatic asphyxia.

ISSN:0022-5282    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1988

数据来源: OVID