Aktuelle Traumatologie
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Aktuelle Traumatologie · Feb 1993
Case Reports[Transcranial Doppler ultrasound in craniocerebral trauma: valuable method in traumatologic emergency cases?].
Introduction of the transcranial Doppler method 1982 (1) by Aaslid made it possible for the first time to monitor noninvasively the cerebral haemodynamics after severe head injury, or in polytraumatized patients in the emergency room. Mean flow velocities (FVmean) and systolic-diastolic frequency spectrum (PI) in basal cerebral arteries were considered. In that way, influences of different pathological intracerebral processes to cerebral haemodynamics are detectable earlier and triage planning of therapeutic steps is facilitated. ⋯ If this is not possible, interpretation of flow signals and measured flow velocities can be only made by comparing both sides. All measurements should be made at normal mean arterial blood pressure. This method enables rapid orientation of intracerebral haemodynamics after SHI and facilitates the decision of what should be done first of all.
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Aktuelle Traumatologie · Feb 1993
[Plate osteosynthesis of the diaphyseal humerus shaft. Indications--risks--results].
Fractures of the shaft of the humerus can be treated conservatively with very good results. In certain situations operative treatment is mandatory. Between 1984 and 1989 25 diaphyseal upper arm fractures were treated operatively, mostly via plate osteosynthesis. ⋯ In 24 cases very good and good functional results were achieved. Nevertheless two transitory paresis of the radial nerve due to the operation are mentioned. Possibilities and limits of the conservative and operative treatment of upper arm fractures are discussed.