Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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This retrospective study of 64 patients undergoing surgery was conducted at Paholpolpayuhasena Hospital from September 1992 to August 2002. Fifty-two patients (81.2%) were male and 12 patients (18.8%) were female. The patients' age range was between 10 to 79 years, and 24 patients (37.5%) were in the age group of 20-29 years. ⋯ Hepatorrhaphy with suture ligature of the bleeding points and disrupted bile ducts with drainage was the surgical treatment performed in almost all patients (20 patients, 31.2%). The results of treatment were recovery in 49 patients (76.6%), mortality in 15 patients (23.4%), and complications in 20 patients (31.3%). Most of the therapeutic outcomes were accounted for by patients with blunt abdominal trauma.
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A retrospective analysis was done in 3,225 injured motorcyclists treated at Phra Chom Klao Hospital between April 1, 1999 and March 31, 2000. The peak of all motorcycle crashes was found between 6 p.m. and 9 p.m. Male motorcycle riders accounted for 69 per cent of the accident population, and most riders were under 21 years of age. ⋯ Helmet usage was much lower among passengers, only about 1 per cent. The upper and lower extremities were injured most frequently, although these injuries were not life threatening. The most fatal injuries to the motorcyclists were to the head, abdomen, and chest in decreasing frequency.
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Randomized Controlled Trial Comparative Study Clinical Trial
Double-blind randomized comparison of xylocaine and saline in paracervical block for diagnostic fractional curettage.
Comparative study of the level of the reported pain between patients who received xylocaine and normal saline for paracervical block during fractional curettage was carried out in 70 patients in a double blind randomized controlled trial. One group of patients received xylocaine for paracervical block just before the procedure was performed while the other group received normal saline in the same manner. Self-reported pain intensity using visual analog scale was assessed at four time points including the first time point when Allis tissue forceps was applied on the cervix, the second and third time points when curettage was done on the endocervix and in the endometrial cavity respectively. ⋯ The explanation for this was the local anesthetic mechanism may be from distension of nerve capsules rather than blockage of specific autonomic nerves. However, this study showed that nerve capsule distension is not the only factor for pain control in paracervical block. An analgesic agent is still an important factor.