Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jul 2007
Case ReportsIsolated thoracic duct injury in penetrating neck trauma: a case report.
A 39-year-old man was admitted with a stab wound to left lower neck. Chest X-ray revealed a left hydropneumothorax. ⋯ Patient was treated conservatively by closed chest drainage and total parenteral nutrition. On the basis of this clinical report and review of the literature, it is concluded that thoracic duct injury should be kept in mind in penetrating neck trauma and conservative treatment should be the first line therapy.
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Ulus Travma Acil Cer · Jul 2007
Comparative Study[Comparison of clinical effectiveness of thoracic epidural and intravenous patient-controlled analgesia for the treatment of rib fractures pain in intensive care unit].
The results of thoracic epidural and systemic patient controlled analgesia practice were evaluated retrospectively in patients with thoracic trauma. ⋯ We suggest that the use of thoracic epidural analgesia with infusion of local anesthetics and opioids are more appropriate as they provide more effective analgesia and shorten length of intensive care unit stay in chest trauma patients with more than three rib fractures who require intensive care.
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Ulus Travma Acil Cer · Jul 2007
Case Reports[Subcutaneous emphysema of the face, neck and upper mediastinum following a minor maxillofacial trauma].
Subcutaneous emphysema is the inadvertent introduction of air into tissues under the skin covering the chest wall or neck. The common causes of subcutaneous emphysema are rib fracture, parenchymal lung wound and esophageal trauma. ⋯ We observed subcutaneous emphysema spread out from periorbital region to upper mediastinum in a patient presented to em e rgency department following minor maxillofacial trauma and admitted due to a simple fracture at his frontal maxillary wall. We present this present case to emphasize early initial management and close observation of minor facial traumas which can prevent further unexpected complications.
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Ulus Travma Acil Cer · Jul 2007
[Evaluation of the fall-related trauma cases applied to our pediatric emergency department].
The aim of this study was to evaluate the fall-related trauma cases who were admitted to our pediatric emergency unit. ⋯ The majority of fall-related injuries in childhood mostly occurs in private houses and head trauma is the most frequent injury. To decrease the frequency of the fall injuries, strategies should include parents' education about the mechanism of falls and increase prevention strategies.
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Ulus Travma Acil Cer · Apr 2007
Case ReportsMultiple isolated spinous process fracture (Clay-shoveler's fracture) of cervical spine: a case report.
Fractures of isolated spinous processes of cervical and thoracic vertebrae are called as Clay shoveler's fracture. In this report, a case of 32-year-old male with multiple isolated spinous process fracture of cervical spine is reported. The patient treated conservatively with a cervical collar. These fractures may be a warning sign of more severe spinal injuries.