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创伤患者中老年患者发病规律 预览
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作者 李春兰 黄红侠 《中国卫生标准管理》 2020年第1期19-21,共3页
目的收集分析老年患者创伤发病规律,为创伤防治提供依据。方法收集本中心2015年3月—2018年2月老年创伤患者的发病情况,回顾性分析比较老年创伤患者的发病机制、受伤部位、性别的差异,比较老年患者是否存在左右髋关节骨折发病率差异。... 目的收集分析老年患者创伤发病规律,为创伤防治提供依据。方法收集本中心2015年3月—2018年2月老年创伤患者的发病情况,回顾性分析比较老年创伤患者的发病机制、受伤部位、性别的差异,比较老年患者是否存在左右髋关节骨折发病率差异。结果老年患者创伤发病率占人群发病率17.20%,主要受伤原因为车祸伤和摔伤,最常见损伤为肢体骨折、脊柱骨折。老年患者左右髋关节骨折发病率差异无统计学意义(P>0.05)。结论老年患者的创伤发病率高,加强病因预防和改进救治流程可以减少老年患者创伤发病率和改善预后。 展开更多
关键词 创伤 院前急救 老年患者 骨折 创伤预防 创伤分级
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Retrospective analysis of eFAST ultrasounds performed on trauma activations at an academic level-1 trauma center 预览
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作者 Samantha Shwe Lauren Witchey +3 位作者 Shadi Lahham Ethan Kunstadt Inna Shniter John C.Fox 《世界急诊医学杂志(英文)》 CAS CSCD 2020年第1期12-17,共6页
BACKGROUND:Point-of-care ultrasound(POCUS)has become increasingly integrated into the practice of emergency medicine.A common application is the extended focused assessment with sonography in trauma(eFAST)exam.The Ame... BACKGROUND:Point-of-care ultrasound(POCUS)has become increasingly integrated into the practice of emergency medicine.A common application is the extended focused assessment with sonography in trauma(eFAST)exam.The American College of Emergency Physicians has guidelines regarding the scope of ultrasound in the emergency department and the appropriate documentation.The objective of this study was to conduct a review of performed,documented and billed eFAST ultrasounds on trauma activation patients.METHODS:This was a retrospective review of all trauma activation patients during a 10-month period at an academic level-one trauma center.A list comparing all trauma activations was crossreferenced with a list of all billed eFAST scans.Medical records were reviewed to determine whether an eFAST was indicated,performed,and appropriately documented.RESULTS:We found that 1,507 of 1,597 trauma patients had indications for eFAST,but 396(27%)of these patients did not have a billed eFAST.Of these 396 patients,87(22%)had documentation in the provider note that an eFAST was performed but there was no separate procedure note.The remaining 309(78%)did not have any documentation of the eFAST in the patient’s chart although an eFAST was recorded and reviewed during ultrasound quality assurance.CONCLUSION:A significant proportion of trauma patients had eFAST exams performed but were not documented or billed.Lack of documentation was multifactorial.Emergency ultrasound programs require appropriate reimbursement to support training,credentialing,equipment,quality assurance,and device maintenance.Our study demonstrates a significant absence of adequate documentation leading to potential revenue loss for an emergency ultrasound program. 展开更多
关键词 Point-of-care ultrasound Emergency medicine Focused assessment withsonography in trauma Trauma activation Blunt trauma
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Surgical Outcome of Traumatic Intracranial Hematoma 预览
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作者 Hedaya Hendam Ahmed Taha 《现代神经外科学进展(英文)》 2020年第1期51-62,共12页
Objective: To evaluate the factors affecting the surgical outcome of traumatic intracranial hematoma. Patient and Methods: This study was retrospectively conducted on 60 patients with traumatic intracranial hematoma a... Objective: To evaluate the factors affecting the surgical outcome of traumatic intracranial hematoma. Patient and Methods: This study was retrospectively conducted on 60 patients with traumatic intracranial hematoma admitted to the Neurosurgery Department, Al-Azhar University Hospital and underwent surgical management. Results: The age range was 10 - 58 years, mean age was 31.50 years, male-to-female ratio was 3:1. The causative trauma was road traffic accident (45%), direct trauma to the head (30%) and fall from height (FFH) (25%) of all studied patients. Morbidity and/or mortality was reported in 38.3% and unfavorable outcome was significantly associated with longer delay time (time from injury to surgery), increased operative time, long duration of hospital stay and lower Glasgow coma scale at admission and discharge. Otherwise, the unfavorable outcome although increased with old age, there was no significant association. Conclusion: Head trauma is considered as a frequent cause of death and disability. Time consuming to reach the hospital, operative time, length of stay in hospital and Glasgow coma score of the patient on admission and discharge markedly determine the surgical outcome of traumatic intracranial hematoma. 展开更多
关键词 INTRACRANIAL HEMATOMA TRAUMA Surgical OUTCOME MORBIDITY MORTALITY
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护理人员创伤救治培训现状 预览
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作者 陈慧娟 程晶 +2 位作者 张敏 陈水红 孙丽冰 《创伤外科杂志》 2020年第1期78-80,F0003,共4页
随着经济和交通行业的快速发展,创伤逐渐成为导致患者死亡和残疾的重要因素,如何发挥多学科优势为严重创伤患者提供最佳的医疗救治和护理服务是一个挑战。护士作为创伤救治小组的角色之一,在创伤救治过程中发挥着重要作用,然而其知识水... 随着经济和交通行业的快速发展,创伤逐渐成为导致患者死亡和残疾的重要因素,如何发挥多学科优势为严重创伤患者提供最佳的医疗救治和护理服务是一个挑战。护士作为创伤救治小组的角色之一,在创伤救治过程中发挥着重要作用,然而其知识水平及必备的技能非常有限,为其提供充足的培训非常重要。本研究通过对国内外护理人员创伤救治培训的现状进行综述,以期为临床管理者及培训者提供一定的启示和思考。 展开更多
关键词 创伤 护理 培训 教育
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短缩-延长技术在小腿严重创伤中的应用 预览
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作者 李建峰 黄雷 +7 位作者 范永辉 裴建锋 张克伟 段杰斌 梁康雄 李宏胤 姚红毅 赵艳兵 《骨科临床与研究杂志》 2020年第1期21-26,共6页
目的探讨应用短缩-延长技术在小腿严重创伤保肢中的疗效。方法回顾性分析2007年7月至2017年2月期间太原长城骨伤手外科医院采用一期急性短缩,二期骨延长技术治疗的小腿严重创伤患者8例,均为高能量损伤男性患者,平均年龄37.2(20~51)岁。... 目的探讨应用短缩-延长技术在小腿严重创伤保肢中的疗效。方法回顾性分析2007年7月至2017年2月期间太原长城骨伤手外科医院采用一期急性短缩,二期骨延长技术治疗的小腿严重创伤患者8例,均为高能量损伤男性患者,平均年龄37.2(20~51)岁。受伤部位:右小腿上段1例,中下段4例(右侧3例,左侧1例),小腿远端3例(右侧2例,左侧1例)。受伤至就诊时间平均6.1(3~10)h,热缺血时间平均8.5(5~13)h。彻底清创后,骨缺损部软组织缺损、骨外露,软组织缺损面积在8 cm×4 cm~20 cm×12 cm之间。胫腓骨均同时短缩,短缩再植后患肢较健侧肢体平均短缩9.8(7~10)cm。选择4.0骨圆针固定胫腓骨(4例)、4.0骨圆针加钢丝固定胫腓骨(1例)、腓骨钢板固定加单边外固定架固定胫骨(1例)、单边外固定架加4.0骨圆针固定胫骨(2例)。骨折固定后修复血管、肌腱和神经。再植术后平均2.6(1.5~8.0)个月行Orthofix重建外固定支架固定胫骨行截骨延长术,术后1周肢体开始延长。结果本组8例患者清创后一期短缩肢体至远、近折端相接触;其中有7例术前伤口为横断创面,经彻底清创短缩肢体后,神经、肌腱、血管均无张力直接吻合,创面一期闭合;1例术前软组织损伤范围大,清创后软组织缺损面积约20 cm×12 cm,且伤口长度与肢体纵轴相一致,短缩后伤口无法一期闭合,给予创面封闭负压引流。术后1周行邮票植皮,再植术后2周闭合创面,无伤口感染等并发症发生。8例患者肢体延长术后均获平均2.8(1.5~9.0)年随访。1例患者延长过程中近端3枚钉道口出现短期红肿、浆液性分泌物,经换药、口服抗生素治疗后愈合,伤口无感染。肢体延长后均与健侧等长,延长段骨矿化好。平均延长时间2.7(2.3~3.5)个月,肢体离断处骨折均愈合;愈合时间平均11.6(10~15)个月。重建外固定支架佩戴时间平均16.6(12~30)个月。外固定架指数2.3个月/cm。8例骨断端� 展开更多
关键词 骨重建 外固定器 小腿骨骼 热缺血 支架 创伤
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Effect of the combination of high-frequency repetitive magnetic stimulation and neurotropin on injured sciatic nerve regeneration in rats 预览
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作者 Jie Chen Xian-Ju Zhou Rong-Bin Sun 《中国神经再生研究:英文版》 SCIE CAS CSCD 2020年第1期145-151,共7页
Repetitive magnetic stimulation is effective for treating posttraumatic neuropathies following spinal or axonal injury.Neurotropin is a potential treatment for nerve injuries like demyelinating diseases.This study sou... Repetitive magnetic stimulation is effective for treating posttraumatic neuropathies following spinal or axonal injury.Neurotropin is a potential treatment for nerve injuries like demyelinating diseases.This study sought to observe the effects of high-frequency repetitive magnetic stimulation,neurotropin and their combined use in the treatment of peripheral nerve injury in 32 adult male Sprague-Dawley rats.To create a sciatic nerve injury model,a 10 mm-nerve segment of the left sciatic nerve was cut and rotated through 180°and each end restored continuously with interrupted sutures.The rats were randomly divided into four groups.The control group received only a reversed autograft in the left sciatic nerve with no treatment.In the high-frequency repetitive magnetic stimulation group,peripheral high-frequency repetitive magnetic stimulation treatment(20 Hz,20 min/d)was delivered for 10 consecutive days after auto-grafting.In the neurotropin group,neurotropin therapy(0.96 NU/kg per day)was administrated for 10 consecutive days after surgery.In the combined group,the combination of peripheral high-frequency repetitive magnetic stimulation(20 Hz,20 min/d)and neurotropin(0.96 NU/kg per day)was given for 10 consecutive days after the operation.The Basso-Beattie-Bresnahan locomotor rating scale was used to assess the behavioral recovery of the injured nerve.The sciatic functional index was used to evaluate the recovery of motor functions.Toluidine blue staining was performed to determine the number of myelinated fibers in the distal and proximal grafts.Immunohistochemistry staining was used to detect the length of axons marked by neurofilament 200.Our results reveal that the Basso-Beattie-Bresnahan locomotor rating scale scores,sciatic functional index,the number of myelinated fibers in distal and proximal grafts were higher and axon lengths were longer in the high-frequency repetitive magnetic stimulation,neurotropin and combined groups compared with the control group.These measures were not significantly different am 展开更多
关键词 AXON myelinated NERVE fibers NERVE REGENERATION neurological rehabilitation NEUROTROPIN peripheral NERVE injury REPETITIVE magnetic stimulation SCIATIC NERVE trauma
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南通某三甲医院2018年医保外伤患者收治情况分析 预览
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作者 陈美华 王逸 +2 位作者 陈倩 曹阳 张艳华 《江苏卫生事业管理》 2020年第1期59-62,共4页
目的:分析南通市第一人民医院2018年医保外伤患者的收治情况,为该类患者的医保管理提供依据和建议。方法:调阅医院电子病历系统中2018年入住该院的1387例医保外伤患者临床数据,分析患者人群、受伤时间、受伤原因及损伤部位等流行病学特... 目的:分析南通市第一人民医院2018年医保外伤患者的收治情况,为该类患者的医保管理提供依据和建议。方法:调阅医院电子病历系统中2018年入住该院的1387例医保外伤患者临床数据,分析患者人群、受伤时间、受伤原因及损伤部位等流行病学特征。结果:医保外伤患者占医保患者比例2.84%,医保支付0.44亿,占医保支付总费用5.4%,人均费用31723元,是医保患者平均支付费用的1.9倍;医院审批发现不符合医保支付条件的有51人,涉及费用229.5万元;医保外伤患者男女比例为0.89∶1,女性的发生率高于男性;50岁以上患者占76.57%;城市和农村居民比例为1.06∶1;74.07%的患者能在意外发生后2天内就医;平均住院天数为12.48±9.87天;8月和9月发生率最高(9.66%);1254例(90.41%)为意外摔伤,入住科室主要为骨科、脊柱外科、神经外科、手外科、烧伤整形科。结论:南通地区医保外伤患者以中老年人为主,受伤原因主要是意外摔伤,受伤部位主要是四肢伤、脊柱伤及颅脑伤,治疗费用较高。建议:①医院需要做好医保外伤患者的支付审批工作,防止不符合条件的该类患者进入医保支付范畴。②医保管理部门联合医院做好防跌倒、防摔伤相关医疗知识的基层宣传工作,尤其对中老年人群普及防意外摔伤相关医学知识及相关预防措施。③医保管理部门做好意外跌倒摔伤发生后及时就医理念宣传,提高社区医疗机构诊疗能力,能够及时评估患者病情并进行处置或转诊。 展开更多
关键词 医疗保险 外伤 管理 费用 患者
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Use of three-dimensional printing in preoperative planning in orthopaedic trauma surgery: A systematic review and meta-analysis 预览
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作者 Catrin Morgan Chetan Khatri +2 位作者 Sammy A Hanna Hutan Ashrafian Khaled M Sarraf 《世界骨科杂志(英文版)》 2020年第1期57-67,共11页
BACKGROUND With the increasing complexity of surgical interventions performed in orthopaedic trauma surgery and the improving technologies used in threedimensional(3D)printing,there has been an increased interest in t... BACKGROUND With the increasing complexity of surgical interventions performed in orthopaedic trauma surgery and the improving technologies used in threedimensional(3D)printing,there has been an increased interest in the concept.It has been shown that 3D models allow surgeons to better visualise anatomy,aid in planning and performing complex surgery.It is however not clear how best to utilise the technique and whether this results in better outcomes.AIM To evaluate the effect of 3D printing used in pre-operative planning in orthopaedic trauma surgery on clinical outcomes.METHODS We performed a comprehensive systematic review of the literature and a metaanalysis.Medline,Ovid and Embase were searched from inception to February 8,2018.Randomised controlled trials,case-control studies,cohort studies and case series of five patients or more were included across any area of orthopaedic trauma.The primary outcomes were operation time,intra-operative blood loss and fluoroscopy used.RESULTS Seventeen studies(922 patients)met our inclusion criteria and were reviewed.The use of 3D printing across all specialties in orthopaedic trauma surgery demonstrated an overall reduction in operation time of 19.85%[95%confidence intervals(CI):(-22.99,-16.71)],intra-operative blood loss of 25.73%[95%CI:(-31.07,-20.40)],and number of times fluoroscopy was used by 23.80%[95%CI:(-38.49,-9.10)].CONCLUSION Our results suggest that the use of 3D printing in pre-operative planning in orthopaedic trauma reduces operative time,intraoperative blood loss and the number of times fluoroscopy is used. 展开更多
关键词 Orthopaedic surgery TRAUMA Three-dimensional printing
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血清骨钙素水平与创伤男性血清C-肽的相关性研究
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作者 杨焱平 黄冠东 +4 位作者 杨开超 仲伟喜 黄剑吟 李永霞 封启明 《中华急诊医学杂志》 CAS CSCD 北大核心 2020年第1期82-86,共5页
目的探究非糖尿病创伤男性血清(osteocalcin,OC)水平与糖代谢的关系。方法采用回顾性队列研究,收集2017年10月至2019年2月上海交通大学附属第六人民医院急诊医学科创伤男性患者,记录年龄、创伤严重度评分(injury severity score,ISS)等... 目的探究非糖尿病创伤男性血清(osteocalcin,OC)水平与糖代谢的关系。方法采用回顾性队列研究,收集2017年10月至2019年2月上海交通大学附属第六人民医院急诊医学科创伤男性患者,记录年龄、创伤严重度评分(injury severity score,ISS)等指标,纳入年龄≥18岁,受伤至次日抽血时间间隔<24 h,排除急诊手术,糖化血红蛋白(hemoglobin A1c,HbA1c)≥6%,急性脑外伤等病例,收集清晨空腹状态静脉血样送检,根据血糖(fasting plasma glucose,FPG)分为应激性高血糖组(stress hyperglycemia,SH)(FPG>7.8 mmol/L)和非应激性高血糖组(no-stress hyperglycemia,NO-SH)(FPG≤7.8 mmol/L),采用LSD-t检验、秩和检验和单因素方差分析比较两组人群各项指标的差异,采用偏相关分析总人群血清OC水平与糖代谢指标的关系。结果395例创伤男性入选,SH组(n=182)和NO-SH组(n=213)在ISS、胰岛素(fasting insulin,FINS)、C-肽(C-peptid,C-P)之间差异无统计学意义,SH组的年龄,HbA1c和FPG较NO-SH组高(P=0.041,P=0.037,P<0.01),而OC浓度较NO-SH组低(P=0.023)。偏相关分析显示OC与HbA1c、FPG、FINS无明显的相关性,与C-P存在负相关(r=-0.262,P=0.008)。多元线性回归分析显示C-P是影响创伤后血清OC水平的独立因素(β=-0.655,P=0.043)。结论非糖尿病创伤患者血清OC水平与创伤后的糖代谢存在相关性。 展开更多
关键词 C-肽 骨钙素 应激性高血糖 创伤
存在的创伤与主体的发生--存在主义与精神分析交互视域下的焦虑问题 预览
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作者 卢毅 《北京社会科学》 CSSCI 北大核心 2020年第2期103-111,共9页
在萨特的存在主义学说和拉康的精神分析学说中,“焦虑”都占有重要的理论地位。萨特将焦虑界定为人在世的基本情绪,将其与人存在的缺失或虚无联系在一起,并将其视为人自由存在的模式,却在焦虑有无对象这一问题上陷入摇摆。拉康则将焦虑... 在萨特的存在主义学说和拉康的精神分析学说中,“焦虑”都占有重要的理论地位。萨特将焦虑界定为人在世的基本情绪,将其与人存在的缺失或虚无联系在一起,并将其视为人自由存在的模式,却在焦虑有无对象这一问题上陷入摇摆。拉康则将焦虑视为触及实在的情绪,认为它与人在身体层面的某种缺失和创伤有关,而作为这种创伤的印记与重复,焦虑的对象所引发的诡异体验恰恰得以彰显人在与大写他者的关系中作为欲望主体生成的历史及其存在的真相。在弗洛伊德学说的启示下,通过对萨特等存在主义者关于焦虑的哲学思考进行创造性的重构和发展,拉康得以进一步揭示焦虑可能具有的存在论内涵与伦理学意蕴。 展开更多
关键词 欲望 创伤 焦虑 拉康 萨特
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Epidemiology and injury patterns of aerial sports in Switzerland 预览
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作者 Henrik Constantin Bäcker J Turner Vosseller +4 位作者 Aristomenis K Exadaktylos Carsten Perka Lorin Michael Benneker Fabian Götz Krause Moritz Caspar Deml 《世界骨科杂志(英文版)》 2020年第2期107-115,共9页
BACKGROUND Airborne sports have become more popular in recent years.The number of accidents has increased linearly as athletes take increasingly greater risks to experience the adventurous spirit of this kind of sport... BACKGROUND Airborne sports have become more popular in recent years.The number of accidents has increased linearly as athletes take increasingly greater risks to experience the adventurous spirit of this kind of sports.AIM To investigate the variety of injuries in airborne sport accidents,as well as which acute treatment these patients receive,both before and after admission to a levelone-trauma center.METHODS We performed a retrospective chart analysis at a major level-one-trauma center in Switzerland for 235-patients who were admitted following airborne sports injuries between 2010 and 2017.Patients’demographic data,injury patterns,emergency primary care procedures and intra-hospital care were recorded.RESULTS Overall,718-injuries in 235-patients were identified;the spine was the most commonly affected region with 46.5%of injuries(n=334/718)in 143-patients.In 69-patients(15.5%),the(non-spine)thorax was affected,followed by the lower and upper extremity,pelvis,head/face and abdominal injuries.Eleven-patients had to be intubated at the trauma site.Three patients were resuscitated after onset of pulseless-electrical-activity.Two-patients died in the resuscitation room.In 116-cases,surgery was indicated including 55-emergency surgeries.Another 19 patients(8.1%)were transferred to the intensive care unit.CONCLUSION Paragliders are most commonly affected,although the highest injury severities were identified for Building,Antenna,Span and Earth-jumping athletes.First responders,treating physicians and pilots should be aware of the risk for potentially serious and life-threatening injury with an in-hospital mortality of 0.9%. 展开更多
关键词 Airborne sport Sport injuries TRAUMA SPINE PELVIS Emergency medicine Paragliding PARACHUTING Delta-flying
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急性胸部创伤的X线诊断分析 预览
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作者 孙军 《中国卫生标准管理》 2020年第2期108-110,共3页
目的观察分析急性胸部创伤患者的X线诊断的效果。方法把2018年3月-2019年3月我院收治的100例急性胸部创伤的患者作为研究对象,均采用X线、CT两种诊断方法,分析急性胸部创伤患者肋骨骨折、肺挫伤、血胸、气胸诊断的符合率。结果X线对肋... 目的观察分析急性胸部创伤患者的X线诊断的效果。方法把2018年3月-2019年3月我院收治的100例急性胸部创伤的患者作为研究对象,均采用X线、CT两种诊断方法,分析急性胸部创伤患者肋骨骨折、肺挫伤、血胸、气胸诊断的符合率。结果X线对肋骨骨折、肺挫伤、血胸、气胸诊断的符合率(94.44%、93.33%、93.33%、94.74%)比CT(83.33%、80.00%、73.33%、78.95%)高,其差异小无统计学意义(P> 0.05)。结论采用X线对急性胸部创伤患者的诊断效果更好,与CT诊断相比较,具有更显著的诊断效果。 展开更多
关键词 急性 胸部 创伤 X线 CT 符合率
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论《远山淡影》的创伤叙事 预览
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作者 张天歌 王钢 《沈阳工程学院学报:社会科学版》 2020年第1期73-77,共5页
《远山淡影》是石黑一雄的处女作,小说以主人公悦子的回忆为主线,叙述了二战后日本普通民众的创伤心理,表现了主人公的精神困境,为人们审视历史创伤、重塑自我价值提供了独特视角。作为移民作家,石黑一雄还特别关注了创伤经历的形成以... 《远山淡影》是石黑一雄的处女作,小说以主人公悦子的回忆为主线,叙述了二战后日本普通民众的创伤心理,表现了主人公的精神困境,为人们审视历史创伤、重塑自我价值提供了独特视角。作为移民作家,石黑一雄还特别关注了创伤经历的形成以及如何修复历史带来的创伤记忆。 展开更多
关键词 石黑一雄 《远山淡影》 创伤
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小儿创伤评分
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作者 明美秀 陆国平 《中国小儿急救医学》 CAS 2019年第2期86-89,共4页
创伤是儿童和青少年致死致残的主要原因之一。多发伤患儿病情复杂多变,儿童创伤评分体系繁多,各有优缺点,但无任何一种创伤评分能满足所有的临床和科研要求,目前损伤严重程度评分是应用最广泛的院内评分系统,儿童创伤评分是最简单易行... 创伤是儿童和青少年致死致残的主要原因之一。多发伤患儿病情复杂多变,儿童创伤评分体系繁多,各有优缺点,但无任何一种创伤评分能满足所有的临床和科研要求,目前损伤严重程度评分是应用最广泛的院内评分系统,儿童创伤评分是最简单易行的院前院内评分系统,BIG评分是新兴的简单易行的评分系统。建议儿童多发伤评估反复多次进行,并多种评分综合使用。 展开更多
关键词 创伤 儿科 多发伤 创伤评分 损伤严重程度评分 儿童创伤评分 BIG评分
Systemic analysis of pre-hospital trauma emergency treatment in Zhengzhou
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作者 Xiao-Peng Shi Li-Jie Qin +2 位作者 Yu-Xia Chang Fa-Liang Li Peng Wang 《急性病杂志(英文版)》 2019年第1期34-37,共4页
Objective: To analyze the data of pre-hospital emergency treatment in zhengzhou from 2007 to 2016, and evaluate the current situation of pre-hospital trauma emergency treatment, in order to provide a scientific basis ... Objective: To analyze the data of pre-hospital emergency treatment in zhengzhou from 2007 to 2016, and evaluate the current situation of pre-hospital trauma emergency treatment, in order to provide a scientific basis for effective use of first aid resources and enhance success rate of trauma emergency treatment. Methods: Retrospective analysis was conducted based on pre-hospital emergency resources of Zhengzhou Emergency Medical Rescue Center from 2007 to 2016. Results: The total number of pre-hospital emergency treatment cases was 9305687 from 2007 to 2016 in Zhengzhou, of which 418882 were trauma cases. The top five causes of injury were traffic accident injury, cutting injury, beating injury, crushing injury and falling injury. The top five emergency treatments used were oxygen, hemostasis, dressing and fixation, fluid supplementation, analgesics and sputum aspiration. According to different directions of diagnosis, the pre-hospital emergency patients were divided into four groups:emergency treatment group, emergency observation group, admission to general ward group and admission to ICU group. There was no statistical difference in the ages among the four groups (P>0.05). There were significantly statistical differences in gender composition among the four groups, with more males than females (P<0.01). Significant statistical differences also showed in CRAMS scores among the four groups (P<0.01). Before and after the training of primary trauma care, there was no significant difference in the constituent ratio of the trauma (P>0.05), but the mortality of the trauma, the average arrival time, and the mean treatment time were significantly different (P<0.01). Conclusions: The number of pre-hospital emergency trauma patients increased year by year, but the constituent ratio changed little. CRAMS score is important for the patients triage. Through the training of primary trauma care, the constituent ratio of death was reduced, and the average treatment time was shortened. 展开更多
关键词 PRE-HOSPITAL FIRST AID TRAUMA CRAMS PRIMARY TRAUMA CARE
Epidemiological Features of Patients with Craniomaxillofacial Fractures: A Single Centre Study 预览
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作者 Mohamed Khallaf Mohammed S. Shahine 《现代神经外科学进展(英文)》 2019年第2期132-144,共13页
Purpose: It has been shown that cranial injuries associated with facial fractures may cause a great risk of mortality and neurological morbidity, which mainly occurs in young adults. Various studies have been carried ... Purpose: It has been shown that cranial injuries associated with facial fractures may cause a great risk of mortality and neurological morbidity, which mainly occurs in young adults. Various studies have been carried out in various countries to study the epidemiology of the cranio maxillofacial injuries but the studies from Egypt are few. The aim of this study was therefore to assess the prevelance, etiology, type of injury, and site of fractures among patient attending Assiut University Hospitals. Material and Methods: Retrospective hospital study was carried out at Trauma unit, Assiut University Hospitals (Single Tertiary Hospital) between January 2010 and December 2017. Radiographs and hospital data of 1745 patients with craniomaxillofacial trauma were gathered and analyzed. The identified fractures, such as, age, gender, etiology of injury, and anatomical sites of fractures were classified as: frontal/skull base, naso-orbital, maxilla, zygoma, and mandible. According to GCS, patients were classified into 3 grades: mild, moderate and severe. Gathered data was coded and entered into a computer and analyzed using SPSS version 22. Result: Overall prevalence of cranio maxillofacial injuries was 3%. Age ranged from 1 - 90 with mean ± SD 25.75 ± 15.5. The greatest number of the patients had 18 to 40 years old (48.4%) and most of them were male (M/F ratio was 7:1). The most prevalent causes of the trauma in this study were the road traffic accidents (67.7%) and accidental fall (15%), respectively. Firearm injuries accounted for fractures in 86 patients (4.9%). The most common bone fracture among the patients was the mandibular bone (47.7%). 837 patients (48%) required surgical intervention. Conclusions: This retrospective population study demonstrates an insight into the demographics and fracture patterns in craniomaxillofacial trauma patients. The most common etiology of craniomaxillofacial injury was road traffic accidents followed by falls and assaults, suggesting that interventions addressing the prevention of 展开更多
关键词 Cranio MAXILLOFACIAL TRAUMA EPIDEMIOLOGY Assiut
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Trampoline Troubles: Serious Traumatic Injuries in Children from a Trampoline Park, a Case Series 预览
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作者 Jeremy Smith Brendan Williams Tricia B. Swan 《临床医学国际期刊(英文)》 2019年第9期452-461,共10页
Background: Trampoline use is one of the most common causes of recreational injury in children. In recent years, trampoline parks have grown in popularity and may be altering the spectrum of the trampoline-related inj... Background: Trampoline use is one of the most common causes of recreational injury in children. In recent years, trampoline parks have grown in popularity and may be altering the spectrum of the trampoline-related injuries that occur. These parks create increased opportunity for injuries that appear uniquely different from accident patterns seen with home trampoline use. Recent work has suggested this may result in injuries occurring in greater frequency and with increased severity that may result in a greater need of hospital admission and procedural management by subspecialty services. Case Series Presentation: This case series presents three such examples occurring after the opening of a trampoline park in our local community: 1) A displaced forearm fracture requiring closed reduction and orthopedic follow-up;2) An ankle fracture necessitating operative reduction and fixation;and 3) A facial injury with tooth avulsion prompting oral surgery consultation and endodontic follow-up. Conclusions: These cases demonstrate the complexity and severity of injury that can occur from trampoline park participation and should serve to increase awareness among health care providers of these risks to provide appropriate parental counseling and advocate for preventative measures. 展开更多
关键词 TRAMPOLINE Injury PEDIATRICS TRAMPOLINE Parks TRAUMA CHILDREN
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Management of Traumatic Injuries of Road Traffic Accident Victims in the City of Ouagadougou at the University Hospital Trauma Emergency Department-Yalgado Ouédraogo 预览
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作者 Alexandre S. Korsaga Anatole J. I. Ouedraogo +6 位作者 Sayouba Tinto Ives R. Kieno Mamoudou Sawadogo M. Narcisse Dabire Mohamed Tall Namori Keita Songahir C. Da 《矫形学期刊(英文)》 2019年第10期212-223,共12页
Purpose: To evaluate the management of traumatic injuries of accident victims in the city of Ouagadougou admitted to the trauma emergencies of the University Hospital of Ouagadougou. Material and Method: This was a de... Purpose: To evaluate the management of traumatic injuries of accident victims in the city of Ouagadougou admitted to the trauma emergencies of the University Hospital of Ouagadougou. Material and Method: This was a descriptive prospective study of road traffic accident victims in the city of Ouagadougou on their arrival at trauma emergencies and on the 7th and 30th day after their discharge. A total of 991 patients were identified. The sex ratio was 1.94 with a male predominance. The average age of the patients was 31.5 years. The ratio of caregivers to patients on a 24-hour shift was 7/47, excluding patients hospitalized in the corridors. Results: We note that 81.94% of patients were transported by the fire brigade. The average time to first contact with a caregiver was 11 minutes. Upon admission, accident victims were accompanied in 84% of cases. The combination of paracetamol and néfopam was the most prescribed analgesic (50.2%). The average time between admission and X-ray completion was 101 minutes. Benign skin lesions were the most frequent (48.82%), followed by osteoarticular lesions of the limbs (fractures and dislocations). Ceftriaxone, and the combination of Amoxicillin + Clavulanic Acid, were the most prescribed antibiotics. Dressings and sutures (44.63%) were the most commonly performed treatments, followed by orthopaedic restraints (37.88%) and open fracture areas in 14.34%. The average time between admission and orthopaedic and/or surgical treatment was 04 hours 25 minutes. Patients discharged against medical advice accounted for 10.80% of cases. In 95% of cases, patients were satisfied with their management. Conclusion: The management of patients admitted to trauma emergencies is satisfactory, but difficulties remain in terms of delays in management. It is imperative to take into account certain factors involving both staff and working conditions in order to reduce the time required to provide care and improve user satisfaction in this emergency unit. 展开更多
关键词 EMERGENCIES TRAUMA Treatment SATISFACTION
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外伤性晶状体脱位的治疗
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作者 温嘉洁 马歆琪 龙崇德 《中华眼外伤职业眼病杂志》 2019年第5期395-400,共6页
任何原因所导致的晶状体悬韧带断裂都可引起晶状体脱位,其中外伤(包括开放性或闭合性眼外伤)是导致晶状体脱位的主要原因之一,约占22%。晶状体脱位可分为不全脱位和全脱位,不全脱位指悬韧带的部分断裂,晶状体向悬韧带断裂的相对方向移位... 任何原因所导致的晶状体悬韧带断裂都可引起晶状体脱位,其中外伤(包括开放性或闭合性眼外伤)是导致晶状体脱位的主要原因之一,约占22%。晶状体脱位可分为不全脱位和全脱位,不全脱位指悬韧带的部分断裂,晶状体向悬韧带断裂的相对方向移位,全脱位指悬韧带的全部断裂,脱位的晶状体可进入前房,也可进入后房或玻璃体,在极少数情况下可脱至结膜下、视网膜下、巩膜下和脉络膜上腔甚至体外。需根据不同的情况选择治疗方式,手术治疗的方式根据晶状体脱位的程度及囊袋是否完整等具体情况进行选择。 展开更多
关键词 脱位 晶状体 外伤性 悬韧带断裂 外伤
Traumatic Retropharyngeal Abscess of Insidious Onset—A Case Report and Literature Review 预览
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作者 Shuaib Kayode Aremu 《临床医学病理报告(英文)》 2019年第4期57-61,共5页
Retropharyngeal abscess is an abscess of the deep spaces in the neck which if not treated urgently can be life-threatening as a result of airway compromise. It is important to detect and treat very early. It may arise... Retropharyngeal abscess is an abscess of the deep spaces in the neck which if not treated urgently can be life-threatening as a result of airway compromise. It is important to detect and treat very early. It may arise in pediatrics from direct neck trauma which is not very common and fishbone impaction. Direct anterior neck trauma resulting in insidious retropharyngeal abscess has not been widely reported. 展开更多
关键词 RETROPHARYNGEAL ABSCESS TRAUMA NECK Spaces
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