检索结果-南通市图书馆

Vascular Trauma Registry Analysis in sulaimani Province of Southern Kurdistan

Surgical Science 2015年第8期6卷 369-375页

作者： Aram Baram Fahmi H. Kakamad Warzer F. Shali Rebwar Sayed-Nouri Department of Surgery School of Medicine Faculty of Medical Sciences University of Sulaimani Sulaymaniyah Iraq Department of Thoracic and Cardiovascular Surgery Sulaimani Teaching Hospital Sulaymaniyah Iraq Department of Thoracic and Cardiovascular Surgery School of Medicine Faculty of Medical Sciences University of Sulaimani Sulaymaniyah Iraq Department of Orthopedics and Trauma Sulaimani DOH Sulaymaniyah Iraq Department Cardiothoracic Surgery Sulaimani DOH Sulaymaniyah Iraq

Background: Vascular injury presents a great challenge to the trauma and vascular surgeons because it needs urgent diagnosis and intervention. Aims: Prospective cohort study is to determine management and outcome of peripheral vascular injuries in a tertiary centre with very poor facilities. Methods: Analysis of peripheral vascular injuries during August 2013 to August 2014. Results: Total of 47 patients (3.4%) from 1377 total trauma admissions had vascular injuries. Penetrating trauma was present in 93.6% of cases. Brachial artery injury was the highest (31.9%), followed by superficial femoral and popliteal arteries (each with 17% incidence). Vein injury occurred in 61.7% of cases. End-to-end anastomosis performed in 76.6% of cases;arterial ligation was done in 14.9% of cases;venous graft was harvested in 6.4% of cases;and arterial wall was repaired in 2.1% of cases. Conclusions: Early intervention is the most important determinant factor of outcome.

关键词： Peripheral Vascular Trauma Hard Signs Soft Signs Long-Term Outcome Surgical Effect Complications

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

Role of Thoracic Sonographic Scan in Diagnosis of Pneumothorax

引用

International Journal of Medical Physics, Clinical Engineering and Radiation Oncology 2015年第3期4卷 255-262页

作者： Kawa A. Mahmood Aram Baram Fahmi H. Kakamad Kosar K. Ahmed Department of Surgery Faculty of Medical Sciences School of Medicine University of Sulaimani Sulaymaniyah Iraqi Kurdistan Department of Thoracic and Cardiovascular Surgery Sulaimani Teaching Hospital Sulaymaniyah Iraqi Kurdistan sulaimani doh Sulaimani Teaching Hospital Sulaymaniyah Iraq Kurdistan

Background: Pneumothorax is a common problem seen in patients with acute and chronic medical and traumatic conditions with wide range of clinical presentations ranging from subtle decrease in breath sounds to cardiopulmonary arrest caused by tension pneumothorax. Pneumothorax is traditionally diagnosed by chest radiography, ultrasound is fairly a new modality of diagnosis. Ultrasound is a rapid noninvasive bedside test that may reduce mortality from this pathology by early detection. There are certain sonographic criteria that can exclude or confirm pneumothorax;this work has been performed to analyze these criteria. Patients and Methods: The study was done in sulaimani teaching hospital and sulaimani emergency hospital from June 1st to 10th August 2013. We performed thoracic ultrasound on fifty three diagnosed cases of pneumothorax (by chest X-ray &/or thoracic computed tomography). The age of the patients ranged between (10 - 82 years), mean age (38 years), 35 males and 18 females. Lung sliding sign, lung point sign and A line signs were recorded and analyzed. Results: The sensitivity, specificity, positive predictive value and negative predictive values of absent lung sliding sign were: 100%, 94%, 94% and 100% respectively, for lung point sign were: 70%, 100%, 100% and 68% respectively, for A line sign were: 91%, 71%, 73% and 91% respectively, for absent lung sliding and lung point sign together were 70%, 100%, 100% & 68.9% respectively. Conclusion: We confirmed the conclusion of other studies which stated that presence of lung sliding excludes pneumothorax and identification of lung point in a case with absent lung sliding is diagnostic of pneumothorax.

关键词： Pneumothorax Sonography e.FAST Lung Sliding Sign

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

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：