Ulus Travma Acil Cer
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Our aim was to express the importance of emergency diagnosis and surgical approach in penetrating cardiac trauma patients. ⋯ Rapid transfer to the emergency department, accurate and quick diagnosis and aggressive surgical approach will increase survival in penetrating cardiac trauma.
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Dural sinus thrombosis after closed head injury is seen very rarely and its pathophysiological mechanisms are not yet understood. An 18-year-old man who had been crushed in an automobile had closed head injury with Glasgow Coma Score 4. Computerized tomography showed diffuse cerebral edema and right occipital linear fracture extending to the internal jugular foramen. ⋯ After surgery, magnetic resonance scan with venography showed that the right internal jugular vein was obliterated from the torcular Herophili and the left internal jugular vein was very thin in calibration. He was discharged home with Karnofsky performance score of 30/90. Dural sinus thrombosis with dominant side can carry high morbidity and mortality if not treated immediately.
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In previous studies, some features of suicidal firearm deaths have been described, but series of suicidal deaths using shotgun are limited in the literature. The aim of the present study was to define several characteristics of suicidal shotgun deaths. ⋯ Handling and usage of shotguns should be under strict control, educational efforts should be directed to early and late adolescents and their parents and psychological support centers should also be founded in an effort to prevent suicidal deaths with shotguns.
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Ulus Travma Acil Cer · Jan 2010
[Fournier's gangrene: analysis of risk factors affecting the prognosis and cost of therapy in 18 cases].
Fournier's gangrene (FG) is a rapidly progressive, polymicrobial, synergistic necrotizing fasciitis, and the mortality rate is still high. We aimed to determine the risk factors affecting prognosis and treatment cost. ⋯ Female gender, duration of complaint, FG severity point, and cultivated microorganism (E. Coli) were thought to affect mortality. FG is a disease that might cause extended hospital stay and high treatment cost.
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Ulus Travma Acil Cer · Jan 2010
The biochemical effectiveness of N-acetylcysteine in experimental spinal cord injury in rats.
In this study, we investigated the biochemical effectiveness of methylprednisolone, N-acetylcysteine (NAC) and methylprednisolone combined with NAC treatment in experimental spinal cord injury in rats. ⋯ Methylprednisolone, NAC and methylprednisolone plus NAC treatments have potential biochemical benefits in preventing secondary injury in experimental spinal cord injury in rats.