摘要:

During the 12-month period January through December 1978, 148 thermally injured patients were aeromedically transported to our burn unit by either helicopter or fixed-wing aircraft. One hundred twenty-nine patients (87%) were evacuated within 48 hours of injury. Treatment by a general surgeon and ICU nurse sent to the local hospital consisted of: insertion of 87 catheters, immediate pulmonary care in 20 patients, escharotomy in six patients, and adjustment of intravenous fluid administration in 42 patients. Thirty-six per cent of patients were considered too unstable clinically to transport until therapy had been rendered. No patients died in flight, and six per cent of all patients aeromedically evacuated were considered clinically unstable when they arrived on the burn ward. Overall mortality was not adversely affected by transportation of acutely burned patients over long distances.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

This experimental investigation has demonstrated that an inflated pneumatic tourniquet causes slowing in conduction velocity of the sciatic nerve. The amount of slowing and recovery time vary according to inflation pressure and to the duration of applied pressure. The conduction velocity always returned to normal provided the tourniquet was inflated for 2 hours or less, and pressures were below 500 mm Hg. The nerve directly under the tourniquet was most susceptible to injury. Inflation pressure should be as low as possible and be determined according to systolic blood pressure. An Esmarch bandage should not be used as a pneumatic tourniquet because of its very small surface area. The cause of the nerve injury demonstrated is likely related to arterial ischemia.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

Recent reports have suggested alternative procedures to temporary colostomy because of the high morbidity associated with its closure. The charts of 137 patients, who had colostomy closure following colostomies for trauma, were reviewed. Barium enema was helpful in the preoperative evaluation in selected patients. Early closure in uncomplicated cases was not associated with greater problems. Fourteen patients had postoperative complications for an overall morbidity of 10.2%. There were no deaths in the series. Colostomy closure in the trauma patient appears to be safer than in patients whose colostomy is constructed for nontraumatic reasons. Meticulous technique, including leaving the skin and subcutaneous tissue open, is essential. It is concluded that the principle of diverting or exteriorized colostomy in the trauma patient should not be abandoned because of the hazards of subsequent closure.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

An analysis of the radiographic signs in 125 consecutive operated cases of tripod fracture was performed. The incidence of direct and indirect signs of fracture and associated fractures of the head and neck were noted. The normal anatomy of the zygomatic articulation is reviewed and optimum radiographic visualization of the fracture sites by lateral, submentovertex, stereo Waters', stereo Caldwell, and direct PA views, and orthopantomogram, are recommended.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

All battle casualties admitted to a specialized base hospital were surveyed for early signs of acute renal failure (ARF), and diuresis was induced in high-risk subjects. Sixty of 1,147 cases developed ARF. Statistical analysis showed that ARF was more frequently observed with multiple injuries, as well as with single injuries of the abdomen, proximal lower limb, and the head and cervical spine. These were therefore considered as critical sites of injury. The relation of urine output, incidence of septic complications, and mortality rate to the site(s) and multiplicity of trauma is discussed, along with the probable mechanism(s) of ARF following each of the critical injuries.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

Enquiries involving 165 Yoruba traditional healers revealed that the practice of surgery by these healers is rudimentary. Three traditional bonesetters were visited and interviewed extensively about their methods of diagnosis and treatment of fractures. Treatment sessions of one of the bonesetters were attended by the author and some aspects of his management were photographed. Case histories of two inpatients were recorded. The merits and demerits of the practice of traditional bonesetters are highlighted. Bonesetting as practiced by the Yoruba was compared and contrasted with similar treatment by other ethnic groups in Nigeria and with accounts available in the literature about other places like Liberia, Mali, East Africa, India, and China. The need to encourage Yoruba bonesetters to refer difficult cases to a modern hospital is stressed.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

The present study was designed to test the hypothesis that povidone-iodine would inhibit the recovery of tensile strength in a healing wound. Clean, incised dorsal wounds in rats were soaked in 1% povidone-iodine solution for 15 minutes; control wounds were soaked in lactated Ringer's solution before closure. Tensile strength measurements and histologic studies were conducted at 1, 2, and 6 weeks. No statistical differences in the rate of gain of tensile strength or histological appearance were noted between control and experimental wounds.It is concluded that brief irrigation of clean incised wounds with povidone-iodine solution does not affect factors important in the recovery of tensile strength during wound healing, such as fibroplasia and collagen cross-linking.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

Described is a case of bilateral epicondylar entrapment following fracture dislocations of elbows in a 13-year-old girl who fell while performing on parallel bars. Close manipulative reduction was unsuccessful. Open reduction and internal fixation yielded excellent results. Ulnar nerves were not transposed anteriorly as has been recommended by some authors. Long-term follow-up in five previous cases has shown no evidence of tardy ulnar nerve palsy. The need for transposing the ulnar nerve is questioned.

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