Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Apr 2006
[Traumatic subarachnoid hemorrhage: a prospective study of 58 cases].
We evaluated the prognostic factors in traumatic subarachnoid hemorrhage (tSAH). ⋯ We have found in our series that the prognosis was poor in patients with poor admission scores of GCS, cysternal or fissural hemorrhage, tSAH with cerebral contusion or acute subdural hematoma, higher than 13 points according to Hidjra's classification and patients of grade 3 or 4 in Fisher's criteria.
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We reviewed the outcome of 66 patients with 100 pressure sores between 1984 and 2002. ⋯ To reduce the recurrence rates the authors advocate the use of myocutaneous and fasciocutaneous flaps instead of skin grafts or direct closure for the coverage of pressure sores.
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Ulus Travma Acil Cer · Apr 2006
[Epidemiological characteristics of electrical injuries of patients applied to the emergency department].
In this study, we planned to determine the factors affecting the mortality, and morbidity of electrical injuries. ⋯ A serious education of the society with respect to conscious use of electricity is the most efficient method to decrease electrical accidents.
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Ulus Travma Acil Cer · Apr 2006
[The effects of rapid and slow infusion of fluid on coagulation factors in hemorrhagic shock: an experimental dogs model].
The diagnosis of hemorrhagic shock in a patient with tachycardia and hypotension is generally straightforward. The difficulty lies in the selection of optimal approach for the patient. In this study on a canine model of deep hemorrhagic shock induced by bleeding, we used various amounts of fluid infusion to determine the most appropriate amount of fluid resuscitation. ⋯ In conclusion, fluid resuscitation should not be unnecessarily aggressive. The coagulation parameters are diluted in proportion with the amount of fluid given. Blood lactate level can be used as a guiding marker in evaluation of treatment effectiveness of hemorrhagic shock patients.
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Ulus Travma Acil Cer · Apr 2006
[Intestinal blood flow alterations in postoperative intraabdominal adhesion formation and the role of Endothelin-1 blockade].
The current study was planned to investigate intestinal blood flow alterations and the role of ET-1 receptor blockade in the formation of postoperative intraperitoneal adhesion formation. ⋯ Non-selective ET-1 receptor blockade has no effect on prevention of the formation of intra-abdominal adhesion, but causes a decrease in intestinal blood flow. Adhesion formation increases intestinal blood flow. Adhesion formation is accompanied by increased polymorphonuclear infiltration despite bosentan treatment.