检索结果-南通市图书馆

Antiphospholipid syndrome with renal and splenic infarction after blunt trauma:A case report

World Journal of Clinical Cases 2022年第26期10卷 9404-9410页

作者： Na-A Lee Eui-Sung Jeong Hyun-Seok Jang Yun-Chul Park Ji-Hyoun Kang Jung-Chul Kim Young-Goun Jo Division of Trauma Department of SurgeryChonnam National University Medical School and HospitalGwangju 61469South Korea Division of Rheumatology Department of Internal MedicineChonnam National University Medical School and HospitalGwangju 61469South Korea

BACKGROUND In trauma patients,bleeding is an immediate major *** the same time,there are few cases of acute vascular occlusion after blunt trauma,and it is unclear what assessment and diagnosis should be considered for these ***,we describe a patient diagnosed with antiphospholipid syndrome after a hypercoagulable workup for acute renal and splenic vascular occlusion due to blunt *** SUMMARY A 20-year-old man was admitted to the emergency department with abdominal pain after hitting a tree while riding a sled 10 h *** had no medical *** investigations revealed occlusion of the left renal artery with global infarction of the left kidney and occlusion of branches of the splenic artery with infarction of the central portion of the *** revascularization of the left renal artery occlusion through percutaneous transluminal angioplasty failed due to difficulty in passing the wire through the total *** the presence of acute multivascular occlusions in a young man with low cardiovascular risk,additional laboratory tests were performed to evaluate *** results suggested a high possibility of antiphospholipid *** with a subcutaneous injection of enoxaparin was started and changed to oral warfarin after two *** diagnosis was confirmed,and he continued to visit the rheumatology outpatient clinic while taking *** A hypercoagulable workup can be considered in trauma patients with acute multivascular occlusion,especially in young patients with low cardiovascular risk.

关键词： Wounds and injuries Wounds nonpenetrating Antiphospholipid syndrome Renal artery obstruction Splenic infarction Case reports

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Emergency percutaneous thoracic endovascular aortic repair for patients with traumatic thoracic aortic blunt injury: A single center experience

引用

Chinese Journal of Traumatology 2020年第1期23卷 15-19页

作者： Xin Pu Xiao-Yong Huang Lian-Jun Huang Department of Intervention Diagnosis and Therapy Beijing Anzhen HospitalCapital Medical UniversityBeijing 100029China

Purpose:To analyze the efficacy and outcome of percutaneous thoracic endovascular aortic repair(TEVAR)in patients with traumatic blunt aortic injury in our ***:From January 2014 to December 2018,a total of 89 patients with traumatic blunt aortic injuries were treated with emergency TEVAR in our *** clinical data such as demographics,operative details and postprocedure outcomes were analyzed retrospectively in this study using SPSS 20 *** variables were expressed as mean and standard deviation or median and interquartile *** variables are expressed as the numbers and percentages of ***:The median age of the patients was 37 years,and 76(85.4%)were *** the patients were involved in violent accidents and combined with associated *** patients died while awaiting the operations and 87 patients underwent emergency percutaneous TEVAR,with a 100%technique *** mean time interval from admission to operating room was(90.1±18.7)min,and the mean procedure time was(54.6±11.9)***(92.0%)patients were operated on under local anesthesia,while other 7(8.0%)patients were under general *** cases underwent open repair of the femoral arteries because of the pseudoaneurysm formation of the access vessels.A total of 98 aortic covered stent grafts were deployed,of which 11 patients used two stent grafts(all in dissection cases).The length of the stent was(177.5±24.6)*** horizontal diameter of aorta arch at the proximal left subclavian artery ostium was(24.9±2.4)mm,the proximal diameter of the covered stent was(30.5±2.6)mm,and the oversize rate of proximal site was(22.7±4.0)%.The proximal landing zone length was(14.1±5.5)*** left subclavian artery ostium was completely covered in 5 patients and partially covered in 32 *** blood flow reconstruction was *** overall aortic-related mortality was 2.25%(2/89).Among 87 patients,the median follow-up time was 24 months.

关键词： nonpenetrating wounds Blunt aortic injury Endovascular aortic repair

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

Extraperitoneal Rectal Laceration Secondary to Blunt Trauma： Successful Transanal Endoscopic Repair with Hemoclips

引用

Chinese Medical Journal 2017年第19期130卷 2384-2385页

作者： Koo-Yong Hahn Soon-Young Ko Woo-Surng Lee Yong-Hun Kim 'Department of Surgery School of Medicine Konkuk University Konkuk University Chungju Hospital Chungju-si Chungbuk Korea Department of Internal Medicine School of Medicine Konkuk University Konkuk University Chungju Hospital Chungju-si Chungbuk Korea Department of Thoracic and Cardiovascular Surgery School of Medicine Konkuk University Konkuk University Chungju Hospital Chungju-si Chungbuk Korea

Rectal injuries are caused by a variety of causes, such as stab wounds, gunshot injuries, blunt trauma, and foreign bodies. In particular, extraperitoneal rectal injury secondary to blunt trauma is very rare in the civilian setting and usually seen in association with comminuted fractures of the pelvis or sacrum and evidence of intraperitoneal injury.[1] The management of extraperitoneal rectal injury is treated either surgically or conservatively depending on the level and extent of the injury.[2] Currently, management of less severe extraperitoneal rectal injury is not standardized, but primary closure of the wound should be performed whenever possible. Therefore, we present a patient with a laceration of the midrectum secondary to blunt trauma who was successfully treated with endoscopic hemoclipping.

关键词： Endoscopy nonpenetrating Rectum Wounds

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

Evaluating clinical abdominal scoring system in predicting the necessity of laparotomy in blunt abdominal trauma

引用

Chinese Journal of Traumatology 2011年第3期14卷 156-160页

作者： Peyman Erfantalab-Avini Nima Hafezi-Nejad Mojtaba Chardoli Vafa Rahimi-Movaghar Department of Emergency Medicine Tehran University of Medical Sciences Tehran 11365-3876 Iran Sina Trauma and Surgery Research Center Department of Neurosurgery Tehran University of Medical Sciences Tehran 11365-3876 Iran Students' Scientific Research Center Tehran University of Medical Sciences Tehran 11365-3876 Iran Research Center for Neural Repair University of Tehran Tehran 11365-3876 Iran

Objectives： Trauma is among the leading causes of death. Medical management of blunt abdominal trauma （BAT） relies on judging patients for whom laparotomy is mandatory. This study aimed to determine BAT patients＇ signs, as well as paraclinical data, and to clarify the accuracy, sensitivity, specificity, positive and negative predictive value of clinical abdominal scoring system （CASS）, a new scoring system based on clinical signs, in predicting whether a BAT patient needs laparotomy or not. Methods： Totally 400 patients suspected of BAT that arrived at the emergency department of two university hospitals in Tehran from March 20, 2007 to March 19, 2009 were included in this study. They were evaluated for age, sex, type of trauma, systolic blood pressure, Glasgow coma scale （GCS）, pulse rate, time of presentation after trauma, abdomial clinical findings, respiratory rate, temperature, hemoglobin （Hb） concentration, focused abdominal sonography in trauma （FAST） and CASS. Results： Our measurements showed that CASS had an accuracy of 94%, sensitivity of 100%, specificity of 88%, positive predictive value of 90% and negative predictive value of 100% in determining the necessity of laparotomy in BAT patients. Moreover, in our analysis, systolic blood pressure, GCS, pulse rate, Hb concentration, time of presentation after trauma, abdominal clinical findings and FAST were also shown to be helpful in confirming the need for laparotomy （P〈0.05）. Conclusion： CASS is a promising scoring system in rapid detection of the need for laparotomy as well as in minimizing auxiliary expense for further evaluation in BAT patients, thus to promote the cost-benefit ratio and accuracy of diagnosis.

关键词： Abdominal injuries Laparotomy Patients Wounds nonpenetrating

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

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

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

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：