Selective nonoperative management of penetrating thoracic injury
نویسندگان
چکیده
منابع مشابه
Selective nonoperative management of penetrating torso injury from combat fragmentation wounds.
BACKGROUND Historically, military surgical doctrine has mandated exploratory laparotomy for all penetrating fragmentation wounds. We hypothesized that stable patients with abdominal fragmentation injuries whose computerized tomography (CT) scans for intraperitoneal or retroperitoneal penetration disclosed nothing abnormal, can be safely observed without therapeutic laparotomy. METHODS We retr...
متن کاملPractice management guidelines for selective nonoperative management of penetrating abdominal trauma.
BACKGROUND : Although there is no debate that patients with peritonitis or hemodynamic instability should undergo urgent laparotomy after penetrating injury to the abdomen, it is also clear that certain stable patients without peritonitis may be managed without operation. The practice of deciding which patients may not need surgery after penetrating abdominal wounds has been termed selective ma...
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BACKGROUND The most appropriate management of penetrating neck injury (PNI) remains controversial. This study was conducted to determine the accuracy and safety of physical examination as the basis of selective observational management of PNI at our institution. METHODS The study was conducted between 1991 and 2006. Patients whose injuries penetrated platysma were included. Following resuscit...
متن کاملPenetrating stab injury of the thoracic aorta.
A36-year-old male psychiatric nurse was stabbed in the back with a knife by a patient suffering from acute psychosis. After initial treatment in an outside hospital, he was transferred in stable cardiopulmonary condition to our department because a lung injury was suspected (Figure 1). Computed tomography performed while the knife was still in place showed that the blade had penetrated the prox...
متن کاملSurgical management of penetrating thoracic trauma.
probably have occurred since man first raised a weapon against another of his kind. Three such cases were described in the Smith Papyrus written between 2500 and 3000 B.C.,1 and Homer recorded in the Iliad results of various wounds of the chest inflicted during the siege of Troy.2 As early as about 1267, Theodoric at least suspected certain basic principles of pulmonary physiology and wrote con...
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ژورنال
عنوان ژورنال: European Journal of Emergency Medicine
سال: 2018
ISSN: 0969-9546
DOI: 10.1097/mej.0000000000000401