检索结果-南通市图书馆

Tramadol Pill Alone May Cause Serotonin Syndrome

Chinese Medical Journal 2016年第7期129卷 877-878页

作者： hamed aminiahidashti Sajjad Shaliee Seyed JaberMousavi Gholamhossein Hajiaghaei Department of Emergency Medicine Imam Khomeini Hospital Mazandaran University of Medical Sciences Sari Iran Department of Neurosurgery Imam Khomeini Hospital Mazandaran University of Medical Sciences Sari Iran Department of Community Medicine Imam Khomeini Hospital Mazandaran University of Medical Sciences Sari Iran

To the Editor： Tramadol is a synthetic opioid analgesic chemically related to codeine and is classified as a Class II drug for the treatment of moderate intensity pain according to the WHO recommendation. Tramadol has low affinity for μ- and k-opioid receptors and inhibits the reuptake of both norepinephrine and serotonin （5-hydroxytryptamine） neurotransmitters. It stimulates the dopamine （D2） receptors and also inhibits the gamma amino butyric acid release in central nervous system, Serotonin syndrome （SS） is a potentially life-threatening adverse drug reaction to serotonergic medication.

关键词： Tramadol synthetic chemically

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Comparison of the diagnostic accuracy of CT scan with oral and intravenous contrast versus CT scan with intravenous contrast alone in the diagnosis of blunt abdominal trauma

引用

Chinese Journal of Traumatology 2023年第3期26卷 174-177页

作者： Iraj Golikhatir Mohammad Sazgar Fatemeh Jahanian Seyed Jalal Mousavi Amiri hamed aminiahidashti Department of Emergency Medicine Mazandaran University of Medical SciencesSariIran

Purpose:Abdominal CT scan using oral and intravenous(IV)contrast is helpful in the diagnosis of intra-abdominal ***,the use of oral and IV contrast delays the process of diagnosis and increases the risk of *** has also been shown that CT scan with IV contrast alone is as helpful as CT scan with oral and IV contrast and rectal CT scan in detecting abdominal ***,the present study aims to prospectively compare the diagnostic value of CT scan with oral and IV contrast versus CT scan with IV contrast alone in the diagnosis of blunt abdominal trauma(BAT).Methods:Altogether 123 BAT patients,60(48.8%)women and 63(51.2%)men with the mean age of(40.4±18.7)years who referred to the emergency department of Imam Khomeini Educational and Medical Center in Sari,Iran(a tertiary trauma center in north of Iran)from November 2014 to March 2017 and underwent abdominal CT scans+laparotomy were *** with penetrating trauma or hemodynamically unstable patients were *** participants were randomly allocated to two groups:abdominal CT scan with oral and IV contrast(n=63)and CT scan with IV contrast alone(n=60).No statistically significant difference was found between two groups regarding the hemodynamic parameters,age,gender,injury mechanisms(all p>0.05).The results of CT scan were compared with that of laparotomy *** collected data were recorded in SPSS version 22.0 for *** data were presented as mean and ***:The sensitivity and specificity of CT scan using oral and IV contrast in the diagnosis of BAT were estimated at 96.48(95%CI:90.73-99.92)and 92.67(95% CI:89.65-94.88),respectively;while CT scan with IV contrast alone achieved a comparable sensitivity and specificity of 96.6(95% CI:87.45-99),42 and 92.84(95% CI:89.88-95.00),***:CT scan with IV contrast alone can be used to assess visceral injuries in BAT patients with normal hemodynamics to avoid diagnostic delay.

关键词： Blunt abdominal trauma Contrast CT scan Laparotomy

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：