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Chinese Journal of Traumatology 2014年第4期17卷 235-238页

作者： vafa Rahimi-Movaghar Soheil Saadat Saba Jafarpour Department of Neurosurgery Shariati Hospital Tehran University of Medical Sciences Tehran Iran Sina Trauma and Surgery Research Center Tehran University of Medical Sciences Tehran Iran Sina Trauma and Surgery Research Center Tehran University of Medical Sciences Tehran Iran

Objective：Trauma is one of the leading causes of mortality and morbidity in adults and a major contributor to health care *** spine-related injuries constitute a small proportion of trauma cases,they need special consideration due to poor functional outcomes and substantial *** relatively extensive previous studies on traumatic spinal injuries,there is still obscurity in some aspects of the *** purpose of this study is to establish a regional multicenter traumatic spine fracture/dislocation ***：This is a prospective case series study,including all patients with acute traumatic spine lesions admitted to a regional multicenter since *** is extracted based upon a form developed by Sina Trauma and Surgery Research Center,Tehran University of Medical Sciences,Tehran,*** electronic data entry software is initiated and data will be entered to the *** remains confidential and security considerations will be taken based on standards of data entry ***：The results of this study will include age and gender distribution of the patients,causes of injury,location of pain and neurological deficit,the American Spinal Injury Association score and Frankel grade on admission,at discharge,after 6 and 12 months and at the latest annual follow-up,radiologic findings,details of operative procedures and methods of external ***：This study will identify prognostic factors that influence the ultimate fate of spine fracture patients and determine short and long-term outcome of different treatment *** can lead to a considerable improvement in patient care and will have a great national and transnational impact.

关键词： Spinal fractures Registries Spinal injuries Prospective studies

Epidemiology and short-term mortality in traumatic patients admitted to Shariati Hospital in Iran between 2012 and 2013

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Chinese Journal of Traumatology 2015年第5期18卷 275-278页

作者： Sima Sheikhghomi vafa Rahimi-Movaghar Saba Jafarpour Soheil Saadat Iron University of Medical Sdences Tehran 11365-3876 Iran Sina Trauma and Surgery Research Center Tehran University of Medical Sciences Tehran 11365-3876 lran Department of Neurology Boston Children's Hospital Harvard Medical School 1 Autumn St Boston MA 02115 United States

Purpose： Trauma is an inevitable part of the health burden in every country. Both the preventive and rehabilitative aspects of traumatic injuries are expensive. Since most of the injuries happen in low- and middle-income developing countries, a judicious allocation of the limited resources to the most cost- efficient strategies is necessary. The present study was designed to report the causes of trauma, injured body regions, trauma severity scores and the one year survival rate of a randomly selected sample of trauma patients in a major referral hospital in Tehran, Iran. Methods： We chose and analyzed a random subgroup of traumatic patients admitted during the one- year period of May 2012 to May 2013 to Shariati Hospital, a major University Teaching Hospital in Tehran, Iran. Patients who stayed at the hospital for less than 24 h were excluded. In total, 73 traumatic patients were registered. The mean age was （40.19 ＋ 20.34） years and 6Z1% of them were male. Results： In general, the most common cause of injury was falls （47.9%）, followed by road traffic crashes （RTCs, 40.8%）. Assault and exposure to inanimate mechanical forces each were only associated with 5.6% of all injuries. The only cause of injury in ages of more than 65 years was fall. The most common cause of injury in ages between 15 and 45 years was RTCs. During the study, two deaths occurred： one was at ICU and the other was at home. The most commonly injured body region was the head （23.8%）, followed by the elbow and forearm （19%）, hip and thigh （15.9%）, and multiple body regions （14.3%）. The mean abbreviated injury score was 2.23 ± 1.02; injury severity index was 7.26 ± 7.06; and revised trauma score was 7.84, calculated for 38 patients. Conclusion： Prevention strategy of traumatic injury should focus on falls and RTCs, which are respec- tively the most common cause of trauma in older aged people and young males.

关键词： Accidents Traffic Epidemiology Iran Body regions Complications

假性剥脱综合征中感觉神经性听力丧失(英文)

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国际眼科杂志 2012年第8期12卷 1438-1441页

作者： vafa Samarai Reza Samarei Negar Haghighi Elnaz Jalili 乌尔米耶医科大学伊玛何梅尼医院眼科伊朗乌尔米耶乌尔米耶医科大学伊玛何梅尼医院耳鼻喉科伊朗乌尔米耶乌尔米耶医科大学伊朗乌尔米耶乌尔米耶输血组织伊朗乌尔米耶

目的:评估眼部假性剥脱综合征(pseudoexfoliation syndrome,PXF)与感觉神经性听力丧失(sensory-neural hearing loss,SNHL)之间的关系。方法:该前瞻性病例对照研究选取2010-03/12在伊朗乌尔米耶,伊玛何梅尼医疗中心普通眼科门诊就诊的... 详细信息

目的:评估眼部假性剥脱综合征(pseudoexfoliation syndrome,PXF)与感觉神经性听力丧失(sensory-neural hearing loss,SNHL)之间的关系。方法:该前瞻性病例对照研究选取2010-03/12在伊朗乌尔米耶,伊玛何梅尼医疗中心普通眼科门诊就诊的患者。常规眼科检查后,确诊为PXF的患者建议去耳鼻喉科,被选病例( 纳入排除标准评估后) 被推荐到听力检测科。分别在1,2,3kHz对每只耳进行了纯音听阈级检测(Puretone hearing threshold level,HTL) ,并将检测结果与国际标准(International Standard,ISO7029) 在1,2,3kHz平均年龄相关性听力丧失(age associated hearing loss,AAHL)进行比较。结果: 在1,2,3kHz,50 例患者中21 例(42.0%) HTL 高于ISO7029平均AAHL,包括男性组9例14耳,女性组12例21耳。大约12.0%的患者同时伴有青光眼,不过,PXF 患者和同时伴有青光眼的患者在SNHL的患病率和严重程度上无明显差别。同年龄-性别匹配对照组相比,眼部PXF的患者SNHL更普遍(P<0.05)。结论:大部分眼部PXF患者有SNHL,与年龄-性别匹配对照组相比,可能是由于其内耳的PXF纤维造成。这些发现表明PXF可能是一个系统性疾病。

关键词：假性剥脱综合征感觉神经性听力丧失青光眼

Spinal cord injury in Parkour sport （free runn,ng）： a rare case report

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Chinese Journal of Traumatology 2014年第3期17卷 178-179页

作者： Nima Derakhshan Mohammad Reza Zarei Zahed Malekmohammady vafa Rahimi-Movaghar Trauma Research Center Shiraz University of MedicalSciences Shiraz Iran Sina Trauma and Surgery Research Center EmergencyMedicine Tehran Iran Trauma Research Center Department of Neurosurgery Sina Trauma and Surgery Research Center TehranUniversity of Medical Sciences Tehran Iran

A 24-year-old male was transferred to the emergency department while being in the state of quadriplegia with a history of performing Parkour sport, which is also called double front flip. Neurological examination revealed that the patient＇s muscle power was 0/5 at all extremities. The patient did not show any sense of light touch or pain in his extremities. In radiological studies, cervical spine X-ray and CT scan images showed C4-C5 subluxation with bilateral locked facets and spinal cord injury. The results of this very rare case study revealed that exercising Parkour sport without taking into account safety standards could result in irreversible injuries to the cervical spinal cord with fatal outcome.

关键词： Spinal cord injuries Cervical vertebrae Athletic injuries

Accuracy of chest radiography versus chest computed tomography in hemodynamically stable patients with blunt chest trauma

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Chinese Journal of Traumatology 2013年第6期16卷 351-354页

作者： Mojtaba Chardoli Toktam Hasan-Ghafiaee, Hesam Akbari vafa Rahimi-Movaghat Emergency Medicine Sina Hospital Tehran Universityof Medical Sciences Tehran 11365-3876 Iran Sina Hospital Tehran University of Medical SciencesTehran 11365-3876 Iran Sina Trauma and Surgery Research Center SinaHospital Students Scientific Research Center TehranUniversity of Medical Sciences Tehran 11365-3876 Iran Sina Trauma and Surgery Research Center SinaHospital Tehran University of Medical Sciences Tehran11365-38761ran

Objective：Thoracic injuries are responsible for 25% of deaths of blunt *** X-ray （CXR） is the first diagnostic method in patients with blunt *** aim of this study was to detect the accuracy of CXR versus chest computed tomograpgy （CT） in hemodynamically stable patients with blunt chest ***：Study was conducted at the emergency department of S ina Hospital from March 2011 to March *** stable patients with at least 16 years of age who had blunt chest trauma were *** patients underwent the same diagnostic protocol which consisted of physical examination,CXR and CT scan ***：Two hundreds patients （84% male and 16% female） were included with a mean age of（37.9±13.7） *** fracture was the most common finding of CXR （12.5%） and CT scan （25.5%）.The sensitivity of CXR for hemothorax,thoracolumbar vertebra fractures and rib fractures were 20%,49% and 49%,***,foreign body,emphysema,pulmonary contusion,liver hematoma and sternum fracture were not diagnosed with CXR ***：Applying CT scan as the first-line diagnostic modality in hemodynamically stable patients with blunt chest trauma can detect pathologies which may change management and outcome.

关键词： Radiography Thoracic injuries Tomography, X-ray computed

Spinal cord injuries from road traffic crashes in southeastern Iran

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Chinese Journal of Traumatology 2007年第6期10卷 323-326页

作者： Mohammad R Rasouli Mohsen Nouri vafa Rahimi-Movaghar Trauma and Surgery Research Center Sina Hospital Medical Sciences/Tehran University

Objective ： To analyze the data of patients with spinal cord injury （SCI） induced by road traffic crashes in southeastern Iran for better understanding the pattern of these injuries and therefore for better designing health system planning. Methods ： In this historical cohort study, the patients who had been transferred to Level I trauma center in southeastern Iran due to road traffic accidents with radiographic documented SCI were evaluated. Results： Among 64 patients with SCI, 38 patients （59.4 %, 36 males and 2 females, aged 27.42 years ± 9.44 years on average） were injured by road traffic accidents. Car and motorcycle accidents were responsible for 26 cases （68.4%） and 12 cases （31.6%）, respectively. And 31patients （81. 6%） had complete SCI. Conus medularis （T12-L2 ） was the most affected level. Conclusions： Results are discussed in terms of preventive measures, specifically those concerning the use of restraint and helmet and driving behavior. This study should be extended nationally to gain a larger case series so that the SCI risk of particular vehicle configurations, considering other crash factors, can be more precisely quantified and the characteristics for low occurrence of SCI can be more precisely identified.

关键词： Accidents, road traffic Spinal cord injury Iran

The effect of tranexamic acid in traumatic brain injury： A randomized controlled trial

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Chinese Journal of Traumatology 2017年第1期20卷 49-51页

作者： Abolfazl Jokar Koorosh Ahmadi Tayyebeh Salehi Mahdi Sharif-Alhoseini vafa Rahimi-Movaghar Department of Emergency Medicine Arak University of Medical Science Arak Iran Department of Emergency Medicine Alborz University of Medical Sciences Karaj Iran Sina Trauma and Surgery Research Center Tehran University of Medical Sciences Tehran Irand Department ofNeurosurgery Shariati Hospital Tehran University of Medical Sciences Tehran lran

Purpose： Traumatic brain injury （TBI） is a leading cause of death and disability, lntracranial hemorrhage （ICH） secondary to TBI is associated with a high risk of coagulopathy which leads to increasing risk of hemorrhage growth and higher mortality rate. Therefore, antifibrinolytic agents such as tranexamic acid （TA） might reduce traumatic ICH. The aim of the present study was to investigate the extent of ICH growth after TA administration in TBI patients. Methods： This single-blind randomized controlled trial was conducted on patients with traumatic ICH （with less than 30 ml） referring to the emergency department of Vali-Asr Hospital, Arak, Iran in 2014. Patients, based on the inclusion and exclusion criteria, were divided into intervention and control groups （40 patients each）. All patients received a conservative treatment for ICH, as well as either intravenous TA or placebo. The extent of ICH growth as the primary outcome was measured by brain cr scan after 48 h. Results： Although brain CT scan showed a significant increase in hemorrhage volume in both groups after 48 h, it was significantly less in the TA group than in the control group （p = 0.04）. The mean total hemorrhage expansion was （1.7 ± 9.7） ml and （4.3 ± 12.9） ml in TA and placebo groups, respectively （p 〈 0.001）. Conclusion： It has been established that TA, as an effective hospital-based treatment for acute TBI, could reduce ICH growth. Larger studies are needed to compare the effectiveness of different doses.

关键词： Traumatic brain injuries Intracranial hemorrhage Traumatic Tranexamic acid

Impact of intravenous acetaminophen therapy on the necessity of cervical spine imaging in patients with cervical spine trauma

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Chinese Journal of Traumatology 2014年第4期17卷 204-207页

作者： Koorosh Ahmadi Amir Masoud Hashemian Elham Pishbin Mahdi Sharif-Alhoseini vafa Rahimi-Movaghar Department of Emergency Medicine Alborz University of Medical Sciences Karaj Iran Department of Emergency Medicine Mashhad University of Medical Sciences Mashhad Iran Sina Trauma and Surgery Research Center Tehran University of Medical Sciences Tehran Iran Department of Neurosurgery Shariati Hospital Tehran University of Medical Sciences Tehran Iran

Objective：We evaluated a new hypothesis of acetaminophen therapy to reduce the necessity of imaging in patients with probable traumatic cervical spine ***：Patients with acute blunt trauma to the neck and just posterior midline cervical tenderness received acetaminophen （15 mg/kg） intravenously after cervical spine ***,all the patients underwent plain radiography and computerized tomography of the cervical *** outcome measure was the presence of traumatic cervical spine *** minutes after acetaminophen infusion,posterior midline cervical tendemess was ***：Of 1 309 patients,41 had traumatic cervical spine injuries based on *** minutes after infusion,posterior midline cervical tenderness was eliminated in 1 041 patients,none of whom had abnormal ***：Patients with cervical spine trauma do not need imaging if posterior midline cervical tendemess is eliminated after acetaminophen *** analgesia could be considered as a diagnostic and therapeutic intervention.

关键词： Acetaminophen Diagnosis Spinal Injuries Cervical vertebrae Radiography

Situation analysis of trauma based on Arizona trauma center standards in university hospitals of Tehran, Iran

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Chinese Journal of Traumatology 2009年第5期12卷 -页

作者： Mahdi Sharif-Alhoseini Aliashraf Eghbali vafa Rahimi-Movaghar Soheil Saadat Sina Trauma and Surgery Research Center Sina Hospital Tehran University of Medical Sciences Tehran 11365-3876 Iran

Objective: Injuries are common and important problem in Tehran, capital of Iran. Although therapeutic centers are not essentially established following the constructional principles of developed countries, the present opportunities and equipments have to be used properly. We should recognize and reduce the deficits based on the global *** study deliberates the trauma resources and capacities in university hospitals of Tehran based on Arizona trauma center standards, which are suitable for the assessment of trauma ***: Forty-one university hospitals in Tehran were evaluated for their conformity with "Arizona trauma center standards" in 2008. A structured interview was arranged with the "Educational Supervisor" of all hospitals regarding their institutional organization, departments, clini-cal capabilities, clinical qualifications, facilities and resources, rehabilitation services, performance improvement, continuing education, prevention, research and additional requirements for pediatric trauma patients. Relative frequencies and percentages were calculated and Student's t test was used to compare the mean ***: Forty-one hospitals had the average of 77.7 (50.7%) standards from 153 Arizona trauma center standards and these standards were present in 97.5 out of 153 (63.7%) in 17 general hospitals. Based on the subgroups of the standards, 64.8% items of hospital resources and capabilities were considered as a subgroup with the maximum criteria, and 17.7% items of research section as another subgroup with the minimum ***: On the basis of our findings, no hospital meet all the Arizona trauma center standards completely. The hospitals as trauma centers at different levels must be promoted to manage trauma patients desirably.

关键词： Trauma centers Hospitals Iran Arizona Reference standards