Ulus Travma Acil Cer
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To carry out a pilot study on the epidemiology of the crush injuries of the hand in our country and to obtain valuable data that will be used for construction of a protective program in the future. ⋯ Most of the cases were due to lack of attention and education and could be prevented by simple precautions and by wide-spread work education programs leading to a marked decrease in health expenses and loss of man power.
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Ulus Travma Acil Cer · Oct 2005
[Pediatric head injuries: a retrospective analysis of 280 patients.].
To assess etiological factors, clinical features, radiological findings and recovery rates in pediatric head injuries. ⋯ Nearly half of the pediatric head injuries were caused by falls with good prognoses. In the school age, motor vehicle accident (MVA) was the most frequent trauma type. MVA was the most serious type of trauma as demonstrated by its low GCS and GOS scores. Polytraumas, subdural hematomas, cerebral contusions, subarachnoid or intracerebral hemorrhages, cerebral edemas, diffuse axonal injuries, and any cranial lesion which required surgery were found to be related with poor prognosis.
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Ulus Travma Acil Cer · Oct 2005
The diagnosis of cardiac dysfunction in critically III trauma patients with blunt chest trauma and presumed myocardial contusion: the critical nature of end diastolic volume.
To evaluate prospectively the effectiveness of monitoring end-diastolic volume (EDV) vs pulmonary artery occlusion pressure (PAO) as an estimate of cardiac preload in hemodynamically unstable critically ill 23 myocardial contusion patients with blunt chest trauma admitted to a university trauma center.. ⋯ Simultaneous consideration of PAO, EDV, HR allowed the most accurate determination of cardiac output.
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The aim of this study was to evaluate the systematic approach to the isolated traumatic hemothorax. ⋯ The decision of exploration or conservative treatment must be made according to the patient stabilization status after the thoracostomy tube insertion. Thoracoscopic evacuation of blood clots from hemothoraxes must be attempted during the early posttraumatic stages, especially in cases refractory to classical drainage methods.
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Ulus Travma Acil Cer · Jul 2005
[A statistical analysis for the identification of factors effecting prognosis of civilian patients with cranial gunshot wounds].
Patients with civil cranial gunshot injuries who were treated in our hospital were statistically analyzed for the factors acting on 7 days survival and prognosis without regarding treatment modalities. ⋯ In civilian patients with cranial gunshot injuries pupillary defect and coagulopathy were statistically significant prognostic factors. We think that aggressive medical and surgical treatment will be beneficial even if the patients' neurological status is deteriorating.