ISSN:0022-5282    

出版商:OVID    

年代:1977

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1977

数据来源: OVID

摘要:

Nineteen acute fractures and fourteen fracture complications of the femoral shaft were managed with ASIF plate fixation. Two patients having femoral shortening procedures were similarly managed. Most injuries involved the distal femoral shaft, and were judged unacceptable for intramedullary nailing. Single plate fixation and immediate mobilization of the knee joint were possible in most patients. Technical failure, refracture through an end-screw hole, or nonunion occurred in 20% of the injuries. Plate fixation of the femoral shaft is not the surgical procedure of choice for management of femoral shaft injuries. It is an acceptable alternative to intramedullary nailing but carries a higher risk of complication.

ISSN:0022-5282    

出版商:OVID    

年代:1977

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1977

数据来源: OVID

摘要:

The body fluid changes of 12 burn patients treated with Hypertonic Lactate Saline solution (HLS group) were compared with 26 burn patients receiving isotonic therapy (iso Na group).Total infusion volume during the first 48 hours postburn in the HLS group was only one-half to two-thirds of that in the iso Na group, although the sodium loads were nearly equal.HLS therapy maintained sufficient functional extracellular fluid volume (f-ECFV) in the shock period and protected the excess increase of f-ECFV in the postresuscitative period, in contradistinction to the iso Na group.In this paper, some clinical problems such as a rapid shift of ECF water into the ICF space and hypernatremia following HLS administration are discussed.

ISSN:0022-5282    

出版商:OVID    

年代:1977

数据来源: OVID

摘要:

The incidence of gastrointestinal bleeding was studied in 433 patients with head injury. This complication has a strong correlation to the severity of the injury. Other factors such as shock, arterial pO2and glucocorticoid administration were not related to incidence of gastrointestinal bleeding. Forty per cent of patients developed bleeding within 48 hours and approximately an additional 40% within one week. Only nine patients required more than 1,000 ml of blood, and eight of these died and one requiring emergency abdominal surgery lived.

ISSN:0022-5282    

出版商:OVID    

年代:1977

数据来源: OVID

摘要:

The efficacy of antifibrinolytic therapy with epsilon aminocaproic acid (EACA) in experimental spinal cord injury is assessed by use of a standardized trauma model at both nonparaplegic and paraplegic trauma doses. Evaluation of neurologic parameters, cortical evoked response and histopathology of the injured spinal cord demonstrated that within the contusion range studied, EACA has no significant therapeutic effect. The ability of the animal to walk was the most reliable criterion indicative of functional recovery, and was closely paralleled by return of the cortical evoked response. Spinal cord cavitation in excess of 60% uniformly resulted in paraplegia. The data from this experiment show no evidence of a significant secondary injury occurring after spinal cord trauma that is amenable to post-traumatic antifibrinolytic therapy.

ISSN:0022-5282    

出版商:OVID    

年代:1977

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1977

数据来源: OVID

摘要:

A case is reported in which a male laborer sustained severe hepatic lacerations after a tree fell across his abdomen. Despite intensive resuscitation and a laparotomy, bleeding continued from the liver and a second laparotomy was performed. When this also failed to control the hemorrhage a selective hepatic angiogram showed a false aneurysm in the right lobe of the liver with surrounding hematoma. this was successfully embolized with Gelfoam emboli. Bleeding ceased immediately with an uneventful recovery. The role of embolization in the management of hepatic trauma is discussed, especially in relation to surgical hepatic artery ligation.

ISSN:0022-5282    

出版商:OVID    

年代:1977

数据来源: OVID

摘要:

Although unilateral traumatic renal artery thrombosis may be more common than was once thought, bilateral traumatic renal artery thrombosis is rare, with only thirteen previously reported cases. Time is of the essence in diagnosing this condition, so that in the proper clinical setting one may be able to proceed quickly to arteriography. However, the prognosis at present still remains poor.

ISSN:0022-5282    

出版商:OVID    

年代:1977

数据来源: OVID