Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Jun 1992
Comparative Study[Comparison of 2 scales in the assessment of injury severity in seriously injured patients].
We compared the Abbreviated Injury Scale (AIS-85) and the Hospital Trauma Index (HTI) in seriously injured patients. The effect of these scales on the application of Injury Severity Scores (ISS) was investigated. Furthermore, the predictive value on mortality of the AIS/ISS and the HTI/ISS was determined. ⋯ By combining specific regions of the scales the predictive value could be improved. The ISS scores were incomparable. Consequently in future studies the method used to calculate the ISS score should be mentioned.
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Ned Tijdschr Geneeskd · May 1992
Case Reports[Blunt thoracic trauma with lesions of the heart and large vessels].
A man aged 26 was admitted after a traffic accident. The chest X-ray showed widening of the mediastinum without rib or sternal fractures. Therefore an aortogram was made which showed an avulsion of the aortic valve and a rupture of the left common carotid artery. ⋯ If there is widening of the mediastinum on the chest X-ray an aortogram should be made. In this way the diagnosis, rupture of the thoracic aorta or of one of the aortic arch branches, and traumatic valve rupture can be made. Early diagnosis can be life saving.
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We discuss a newborn with congenital intestinal lymphangiectasia. Primary intestinal lymphangiectasia is a rare disease which represents a congenital disorder of mesenteric lymphatics and is associated with typical clinical signs. ⋯ Substitution therapy may be necessary. The longer-term prognosis appears to be good.