摘要:

The classification, clinical presentation, forms of treatment, and theories of pathogenesis of traumatic myositis ossificans circumscripta are reviewed. A group of 7 patients with this lesion was treated with hematoma aspiration and injection of steroids, lysosomal enzymes, and xylocaine, resulting in significant limitation of disability. The determining factor in the development of this disorder seems to be the response of local soft tissues to trauma rather than the magnitude of the trauma itself which we feel accounts for the success of the form of treatment described.

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

The incidence of penetrating wounds of the chest is rising rapidly. Opinions continue to differ on their management. Our experience with 200 consecutive cases of stab wounds of the chest between 1972 and 1975 were reviewed. There were 176 males and 24 females. The average age was 31 years; about two-thirds of the patients were under 30. About 74% presented with hemothorax or hemopneumothorax; 21 presented with pneumothorax. Eleven per cent had associated intra-abdominal injuries. Seventy-nine per cent were successfully treated with tube thoracostomy. About 15% underwent thoracotomy, with three deaths (mortality, 10%); the mortality for cardiac wounds was 16%; overall mortality was 1.5%. The overall complication rate was 5.5%, most occurring in patients with cardiac wounds and associated intra-abdominal injuries. The average period of hospitalization was 6.5 days. Treatment was individualized. Indications for each course of therapy are discussed.

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

This article summarizes the salient features of seven federally funded experimental helicopter aeromedical ambulance services. The lessons applicable to metropolitan aeromedical service are presented. Of over 30 currently operational helicopter ambulance services, eleven are discussed in detail because of a unique feature which characterizes each. Air rescue activity during the Los Angeles earthquake of February, 1971, and hurricane Agnes in Pennsylvania in June, 1972, are reported and assessed. The elements of a successful aeromedical service are: multi-mission approach; a small number of hospitals selected because of specialized facilities; adequate airborne equipment; aeromedical crewmen; communications with the ground; a reasonable cost; and operational hours coinciding with peak traffic.

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

A procedure for adsorbing enzymes from the human burn wound onto solid sheets of substrate is described. Using this technique, low levels of enzyme activity with chymotryp: in-like specificity can be demonstrated in the wound approximately 2 weeks after injury. This activity disappears at about 5 weeks after the burn. The enzyme activity corresponds with the clinical experience for the time course of natural loss of the burn eschar. A trypsin-like enzyme of very low level activity is present in the wound. No collagenase was detected in the human burn wound. Preliminary evidence shows an additional leucinespecific enzyme in the human burn wound. A more detailed analysis of enzymes in the human burn wound should permit the development of a useful artificial debriding agent. Presently these preparations must be used with caution.

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID