Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Nov 2011
Unusual emergent presentations of abdominal aortic aneurysm: can simple blood tests predict the state of emergency?
This paper attempts to see if simple blood test results can predict the state of an emergency aneurysm as being non-ruptured, contained leak or free rupture. ⋯ To avoid a delay in diagnosis, it is important to know the different presentations of emergency AAA. In the emergency room, simple laboratory parameters may be highly directive in suspicion of ruptured AAA.
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Ulus Travma Acil Cer · Nov 2011
The incidence of peripheral nerve injury in trauma patients in Iran.
In patients aged 1-34 years, injury is the leading cause of mortality, disability and health care costs. Two to 3% of Level I trauma patients have peripheral nerve injury (PNI). ⋯ Sharp laceration and road traffic crash have the highest rates of PNI, which are more common in young males. Open wounds from the elbow to the hand should raise suspicion of PNI in triage. Although injuries leading to PNI are rare, their outcomes and disabilities require further research.
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Ulus Travma Acil Cer · Nov 2011
Case ReportsAbdominal cocoon syndrome as a rare cause of mechanical bowel obstruction: report of two cases.
An abdominal cocoon is an extremely rare condition, and has been reported mainly in young adolescent women as a cause of small bowel obstruction. In these patients, the small bowel is encased in a fibrous sac called an abdominal cocoon. ⋯ They both received early intervention, thus preventing the need for bowel resection. The pathology of both membranes showed inflammation.
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Ulus Travma Acil Cer · Nov 2011
Increased nutritional risk in major trauma: correlation with complications and prolonged length of stay.
Acute Physiology and Chronic Health Evaluation II (APACHE II) and the Trauma Injury Severity Score (TRISS) are physiological and anatomical severity scores to predict trauma outcome. Nutritional Risk Screening (NRS-2002) is used for the screening of nutritional risk, which can affect outcome adversely. The objective of this study was to determine the reliability of these scales to predict disease severity, complications and mortality, and to compare the reliability of the NRS-2002 in predicting outcome with different scoring systems in trauma-intensive care unit (ICU) patients. ⋯ A significant percent of trauma patients are at nutritional risk. The NRS-2002 score can be useful in predicting complication and prolonged LOS in trauma patients.
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Ulus Travma Acil Cer · Nov 2011
Effect of pentoxifylline and vinpocetine on the healing of ischemic colon anastomosis: an experimental study.
In the current study, we aimed to investigate the influences of pentoxifylline, which increases the flexibility, deformability and viscosity of the erythrocytes while reducing the aggregation abilities of the platelets, and vinpocetine, which has neuroprotective and antioxidant effects, on healing of colonic anastomoses. ⋯ Similar to pentoxifylline, vinpocetine was also shown to have a beneficial effect over ischemic colon anastomoses.