نتایج جستجو برای: penetrating thoracic injury
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BACKGROUND Within the GRADE (Grading of Recommendations Assessment, Development and Evaluation) framework, we performed a systematic review and developed evidence-based recommendations to answer the following PICO (Population, Intervention, Comparator, Outcomes) question: should patients who present pulseless after critical injuries (with and without signs of life after penetrating thoracic, ex...
OBJECTIVE Thoracic injuries are among the most severe forms of trauma and also a leading cause of morbidity and mortality. Video Assisted Thoracic Surgery (VATS) has recently provided an alternative method to simultaneously diagnose and manage patients sustaining chest injuries. We analyze our experience with VATS in the setting of thoracic trauma detailing indications for exploration, procedur...
this is an observational case series study on penetrating trauma admissions in three teaching hospitals in tehran from 1996 to 1997. in order to describe the epidemiology and determine the ways of improving treatment of penetrating injuries, we selected 410 patients with penetrating injuries and injury severity scores (iss) of more than 7 (the maximum iss is 75) out of 3580 trauma patients, hos...
Thoracic trauma is a significant cause of morbidity and mortality in both adults and children. It is a leading cause of death in approximately 25% of multiple trauma patients and, when associated with other injuries, it causes death in additional 50% of multiple trauma patients, usually as a result of hypoxia and hypovolemia. When cardiac trauma is not involved, mortality from isolated penetrat...
BACKGROUND Penetrating spinal cord injuries pose a great challenge to both patients and the treating physicians. Although the overall incidence of penetrating spinal cord injury is the highest in the military, the ubiquity of guns in our society continues to make penetrating spinal cord injury prevalent in the civilian population. These types of injuries are particularly complicated because, be...
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...
Non-penetrating injuries have become one of the leading causes of death as the number of accidents involving motor vehicles iscreases every day. Dissection of the descending thoracic aorta is the most dangerous injury in trauma surgeries and because of its numerous clinical presentations it mimics various medical and surgical conditions. Paraplegia is one of its rare presentations and has ...
This study evaluated the demographic and clinical properties, diagnostic and therapeutic approaches, and outcomes of patients with traumatic diaphragmatic injury. Among 853 patients who presented with blunt or penetrating thoracic injury between January 2010 and December 2016, 22 patients with traumatic diaphragmatic rupture were retrospectively studied. The analysed parameters included age, se...
Trauma to skull base or sinus is the most common cause of pneumocephalus. There are only few published reports of traumatic pneumocephalus secondary to penetrating injury of upper spine, epidural anaesthesia and lumber puncture. Till date only one case of pneumocephalus and pneumorrhachiasis after thoracic spine stab injury is reported in available English literature that too associated without...
BACKGROUND Penetrating chest injuries account for 1-13% of thoracic trauma hospital admissions and most of these are managed with a conservative approach. Nevertheless, 18-30% of cases managed only with tube thoracostomy have residual clotted blood, considered the major risk factor for the development of fibrothorax and empyema. In addition, 4-23% of chest injury patients present persistent pne...
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