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Search Results: 1 - 10 of 2330 matches for " Wounds and injuries "
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Trauma abdominal fechado: análise dos pacientes vítimas de trauma hepático em um Hospital Universitário de Curitiba
von Bahten, Luiz Carlos;Nicoluzzi, Jo?o Eduardo;Olandoski, Márcia;Pantanali, Carlos Andrés Rodriguez;Silva, Ruy Fernando Kuenzer Caetano da;
Revista do Colégio Brasileiro de Cirurgi?es , 2005, DOI: 10.1590/S0100-69912005000600006
Abstract: background: to determine during hospital admissions, the trauma mechanism, anatomical and physiological injuries, abdominal pain and rib fractures of hepatic trauma victims. methods: records from december/1999 to january/2003 were reviewed and 524 were selected by the software tnvt plus (version - year 1996), from patients admitted to the emergency service, victims of blunt thoracic-abdominal trauma and submitted partial hepatectomy, hepatorrhaphy, laparotomy, reduction or conservative treatment of rib fractures. those records which didn't present blunt trauma, were excluded, as well as the ones who deceased in the emergency room and those under 16 years old. therefore, 200 records were analysed. results: regarding all liver traumas, 37.63% were caused by motor vehicle accidents,responsible for 54.29% of the most serious injuries (degrees iii, iv and v). these injuries caused abdominal pain in 75.86% of the cases, and minor injuries (degrees i and ii) caused abdominal pain, in 69.70%. the heart rate and the mean systolic arterial pressure with degree i or ii injuries were, respectively, 100.37 beats per minute and 114.45 mmhg; and in those with degree iii, iv, or v injuries were 105.69 beats per minute and 107.88 mmhg, respectively. right rib fracture was associated to degrees i or ii injuries in 29.41% of the cases. conclusion: motor vehicle accidents are the most common cause of hepatic trauma and is the main causes of the most serious injuries. these injuries caused abdominal pain with the same frequency that minor injuries. the heart rate and mean systolic arterial pressure showed no relation to degree of hepatic injury.
Adenauer Marinho de Oliveira Góes Jr., Allan Dias Vasconcelos Rodrigues, Fábio Brito Braga, Mariseth Carvalho de Andrade, Simone de Campos Vieira Abib
Health (Health) , 2014, DOI: 10.4236/health.2014.66071
Abstract: Introduction: Vascular injuries are among the main mechanisms of death in trauma. In Brazil, the general surgeon is in charge of emergencies procedures in most hospitals, but many times these surgeons are not familiarized with more complex vascular surgical techniques that often require a vascular surgeon. Pará State is the most populated one in the Brazilian Amazon region and a single hospital with vascular surgeons permanently on call is available. Objectives: To evaluate demographic data on vascular trauma victims; to establish the mechanism, anatomic location, injury pattern and surgical techniques used to manage the vascular lesions treated at the Metropolitan Emergency Hospital; to ascertain associated non-vascular injuries and victim’s clinical outcome. Methods: Retrospective analysis of medical records of patients treated for vascular injuries from February 2011 to February 2013 at the institution in case. All arterial and venous injuries were analyzed. Patients who were not operated by the vascular surgery team, iatrogenic injuries and those who underwent primary or sustained traumatic amputation were excluded. Results: 173 cases; 95.95% were male; 54.90% were between 25 and 49 years; penetrating trauma mechanisms were found in 88.44%; lower limb was the most affected topography (41.50%); the most injured vessels were the superficial femoral and ulnar arteries (in 15.75% of cases each) and the superficial femoral vein (17.77 %); autologous vein graft was the most performed technique for arterial repair (36.57%) and ligature was performed in 85.00% of venous trauma; amputation rate was 15.60% and mortality rate was 6.35%. Conclusions: Vascular injuries occurred predominantly in men from 24 to 49 years old; penetrating mechanisms were most frequent; lower limb was the most affected topography; the most frequently injured vessels were the ulnar and superficial femoral arteries and the superficial femoral vein; complete vessel transection was the most common injury pattern; arterial trauma was most frequently treated by autologous venous graft interposition and ligature was performed for most of venous injuries; fractures were the most common associated lesions; the majority of patients recovered uneventfully, ischemic and infectious complications were the most frequent ones; deaths were caused by hypovolemic and septic shocks.
Egresos por lesiones externas en un hospital de Ciudad Juárez, México
Díaz-Apodaca,Beatriz A.; De Cosio,Federico G.; Moye-Elizalde,Gustavo; Fornelli-Laffon,Felipe F.;
Revista Panamericana de Salud Pública , 2012, DOI: 10.1590/S1020-49892012000500014
Abstract: in ciudad juarez, chihuahua, mexico, morbidity and mortality from injuries have increased alarmingly since 2008. this paper aims to examine the changes in the number of hospital discharges for external injuries recorded during the 2008-2010 period in a hospital in ciudad juarez. a descriptive retrospective study conducted at the ciudad juarez general hospital looked at the incidence of external injuries as the reason for hospital discharges during the period under analysis. the average proportion of hospital discharges attributed to external injuries was 27%, with the 25-44-year-old age group being the most affected. more than half of the discharges were for fractures. the incidence rate of hospital discharges attributed to injuries in ciudad juarez was almost four times greater than that reported at the national level.
Metabolismo e inmunología en los traumatismos
Alfonso Alfonso,Lázaro E.; Noda Sardi?as,Constantino L.; Reyes Martínez,Margarita L.; Rodríguez Acosta,Mireida;
Revista Cubana de Medicina Militar , 1999,
Abstract: traumatisms are a severe and disabling affection that caused 5 450 deaths in cuba, in 1997. most of them resulted from generalized sepsis and multiple systems organ failure, the commonest cause of death in these patients, despite the progress attained in antibiotic therapy and in the anesthetic and reanimation techniques. a review of the physiological alterations they produce was made, making emphasis on their inmunodepressive effect and differentiating the inflamatory response to trauma known among the most severe patients as incontrolled and hypertensive immunohumoral response or malignant inflamatory response. the role played by the mediators of inflamation in itself, as well as the ways to fight immunodepression are approached. it was concluded tha the decrease of the post traumatic immune response may be measured, prevented and corrected, or at least modified with drugs and supplementary nutritional support.
Trauma craneal leve
Rodríguez Gómez,Julio A; Mederos Villamisar,Abel; Cisneros Cué,Maricela; Estrada Suárez,Matilde;
Revista Cubana de Medicina Militar , 2000,
Abstract: some "mild" head injures may cause serious complications. a working program is presented for the early detection of such situations. the milestone of this program is the complete and repeated clinical exam.
Laparoscopic treatment of traumatic intraperitoneal bladder rupture
Figueiredo, Andre A.;Tostes, Jose G. T.;Jacob, Miguel V. M.;
International braz j urol , 2007, DOI: 10.1590/S1677-55382007000300011
Abstract: traumatic intraperitoneal bladder rupture requires surgical suture and bladder drainage. in stable patients the laparoscopic approach is the best short recovery and less traumatic treatment allowing visualization of the entire peritoneal cavity to exclude others lesions. we present one case of successful laparoscopic treatment of this entity.
Epidemiologia das les?es traumáticas de alta energia em idosos
Katz, Márcio;Okuma, Marcos Ant?nio Akira;Santos, Alexandre Leme Godoy dos;Guglielmetti, Cesar Luiz Betoni;Sakaki, Marcos Hideyo;Zumiotti, Arnaldo Valdir;
Acta Ortopédica Brasileira , 2008, DOI: 10.1590/S1413-78522008000500005
Abstract: the increasing proportion of elderly people in the world's population, together with improvements in their health status and the preventive support for this age group, have allowed them to have more active lifestyles, which have exposed them to higher risks of high-energy accidents and trauma. these patients have physiological characteristics, associated diseases, behavioral patterns and postoperative complications that lead to different systemic responses from those on other age groups. this study prospectively evaluated 28 patients aged over 65 years - 16 women and 12 men. the most prevalent trauma mechanism was trampling, which mainly resulted in leg fractures. the period of hospitalization for these patients was greater than in younger age groups, and 90% of the cases presented some type of clinical complication following osteosynthesis. age alone acted as a positive predictive factor for such complications among patients with multiple traumas. previous diseases and patients' ages did not have any influence on the development of orthopaedic complications. the injuries associated with the fractures presented a correlation with the trauma mechanism. these patients usually require surgery for definitive treatment of their fractures. being older and presenting diseases prior to the accident did not increase the length of time before surgery.
Gravidade da les?o e analgesia em pacientes que sofreram acidentes de transporte
Calil, Ana Maria;Pimenta, Cibele Andrucioli de Mattos;
Acta Paulista de Enfermagem , 2008, DOI: 10.1590/S0103-21002008000300003
Abstract: objective: identifying the frequency and gravity of injuries in patients who suffered accidents in traffic and the analgesic drugs utilized. methods: retrospective study, with a sample of 200 medical records of patients admitted to the emergency services of a reference hospital for trauma care. the gravity of the injuries was characterized by anatomic gravity rates and the analgesic therapy was based on the world health organization's analgesic ladder. results: the main findings pointed to injuries in limbs, head, face and outer surface as the most frequent, and, in 85% of the cases, gravity was equal or lower than 3; as for analgesia, it was verified that 46;6% of the patients received dipyrone and paracetamol. among the opioids, meperidine was used in 10.4% of the cases. conclusion: the gravity of most injuries was equal or lower to 3, indicating injuries of light, moderate and serious gravity, located especially in four body regions; regarding analgesia, dipyrone was shown to be the most commonly-used drug and a low use of opioids was verified.
Mulheres vítimas de violência sexual: meios coercitivos e produ??o de les?es n?o-genitais
Reis, Jair Naves dos;Martin, Carmen Cinira Santos;Ferriani, Maria das Gra?as Carvalho;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000200014
Abstract: this study aims to analyze the coercive methods used by sex offenders and the occurrence of non-genital injuries in female children, adolescent, and adult victims of sexual abuse reported to the women's police precinct and examined at the department of forensic medicine in ribeir?o preto, s?o paulo state, brazil, from 1996 to 2000. age distribution followed the criteria established by brazil's statute for children and adolescents (the prevailing legislation on issues pertaining to minors). physical violence was the most frequently used form of coercion against adults (44.1%) and adolescents (25.0%), followed by serious threat in 36.5% and 17.0% of the cases, respectively. presumed violence by innocentia consilii occurred in 94.1% of the children and 42.8% of the adolescents. minor non-genital injuries were found in 7.8% of the cases, involving children (3.0%), adolescents (7.2%), and adults (14.4%), with no weapons involved in 75.0% of these cases. a decrease in the number of cases with injuries was observed in relation to knives (14.3%) and handguns (10.7%) used against adult and adolescent victims.
Impacto de perdigón sobre el corazón: dos casos consecutivos tratados en forma conservadora
Córdoba Soriano,Juan G; Hidalgo Olivares,Víctor M; Tercero Martínez,Antonia; Barambio Ruiz,Moisés; Sánchez Iniesta,Rafael; Salmerón Martínez,Francisco M;
Revista argentina de cardiolog?-a , 2012,
Abstract: cardiac shotgun injuries affecting the heart, pericardium and great vessels are occasionally encountered in clinical practice. specifically in spain, pellet wounds from hunting accidents have increased. the treatment of these injuries is not standardized due to the small number of cases attended in each particular center. we present two consecutive cases of cardiac pellet-gun related injuries treated in our institution with a conservative approach, with favorable outcomes.
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