Informacja

Drogi użytkowniku, aplikacja do prawidłowego działania wymaga obsługi JavaScript. Proszę włącz obsługę JavaScript w Twojej przeglądarce.

English (EN)·Polski (PL)·Yкраїнський (UK)
Przejdź do strony domowej biblioteki Centralna Biblioteka Wojskowa Link otwiera się w nowym oknie Logo biblioteki Prolib Integro - strona głównaCentralna Biblioteka Wojskowa

Wyszukujesz frazę "Injury" wg kryterium: Temat

  Lista filtrów
Wyrównaj
    Wyświetlanie 1-4 z 4
    Tytuł:
    An analysis of causes of trauma, spectrum of injuries and treatment outcomes in patients treated at Multitrauma Centre of the University Teaching Hospital No 1 in Szczecin in 2015. Comparison of results from years 2015 and 2007
    Autorzy:
    Dziubiński, Dawid
    Abramczyk, Urszula
    Ciechanowicz, Dawid
    Kozłowski, Jan
    Pakulski, Cezary
    Żyluk, Andrzej
    Powiązania:
    https://bibliotekanauki.pl/articles/1392142.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    abdominal injury
    epidemiology
    mortality
    multitrauma injury
    Opis:
    Introduction: Multitrauma is defined as injury involving two or more different body parts, with a condition that at least one of these injuries is life-threatening. They represent serious traumas, requiring treatment in the intensive care units and frequently surgical intervention. Aim: The objective of this study was epidemiological and clinical analysis of patients treated in 2015 year in Multitrauma Centre of the University Teaching Hospital no 1 in Szczecin, and comparison the results with outcomes of similar study conducted in the same Centre in 2007 year. Material: Clinical material comprised medical notes of 82 patients, 52 men (63%) and 30 women (37%), with a mean age of 44 years, who sustained multitrauma injuries. An analysis included causes of traumas, spectrum of injuries, involvement of body parts, methods and outcomes of the treatment. Results: The most common cause of multitrauma was traffic accident – 45 cases (55%), followed by fall from height – 22 (27%) and other mechanism – 15 (18%). The most frequent component of multitrauma made bone fractures (spine, pelvis, limbs) – 64 cases (78%), followed by head traumas – 63 (77%), chest – 53 (65%) and abdominal 30 (36%) injuries. A total of 48 patients (58%) required surgical intervention, the most frequently fixation of bone fractures – 24 patients (29%), repair of abdominal and head injuries – 18 (22%) either. Of 82 treated patients 64 (78%) survived and 18 (22%) died. A mean period of stay in Multitrauma Centre was 23 days for survived patients and 17 days for those who died. Comparing to similar analysis conducted 8 years earlier, a change in involvement of particular body parts comprising multitrauma injury was observed: number of head injuries increased of 14%, number of chest traumas and bone fractures decreased of 21% and 11%, respectively. The survival rate improved of 10%.
    Źródło:
    Polish Journal of Surgery; 2019, 91, 4; 29-35
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Incidence and etiology of mortality in polytrauma patients: an analysis of material from Multitrauma Centre of the University Teaching Hospital no 1 in Szczecin, over a period of 3 years (2017–2019)
    Autorzy:
    Ciechanowicz, Dawid
    Samojło, Natalia
    Kozłowski, Jan
    Pakulski, Cezary
    Żyluk, Andrzej
    Powiązania:
    https://bibliotekanauki.pl/articles/1391723.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    brain injury
    haemorrhagic shock
    mortality
    polytrauma injury
    Opis:
    Introduction: The pattern of traumatic death is a subject of great interest in the worldwide literature. Most studies have aimed to improve trauma care and raise awareness of avoidable fatal complications. Aim: The objective of the present study was an epidemiological and clinical analysis of causes of traumatic death of patients treated at the Multitrauma Centre of the University Teaching Hospital No 1 in Szczecin, over a period of 3 years (2017–2019). Material and methods: The study material comprised medical data of 32 patients with a mean age of 63 years, who died due to polytrauma injury. The time of death form admission to the Multitrauma Centre, primary cause of death, spectrum and sites of injuries, as well as method of treatment (operative or conservative) were variables considered in the analysis. Results: The predominant mechanisms of injury were traffic accidents – 22 cases (69%) followed by falls from a height 8 (25%) and other mechanism – 2 cases (6%). The most common primary cause of death was brain injury – 17 patients (53%) followed by pelvic or spinal fractures – 5 (16%). The predominant constituents of polytrauma were bony injuries (pelvis, spine and limbs) – 28 cases (87%), followed by head injuries – 25 (78%), chest – 24 (75%) and abdominal injuries – 17 (53%). Eighteen patients (56%) required operative treatment; craniotomy for brain injuries was the most commonly performed – in 11 patients, followed by laparotomy – in 5. Five other patients underwent an endovascular procedure – pelvic artery embolization. Twelve patients (38%) died in the first two days from admission to the trauma center, 5 (16%) in the first week and 15 over one week form admission. Conclusions: Head injuries, pelvic fractures with associated retroperitoneal bleeding and severe injuries affecting several body parts were identified as the most dangerous for the survival of polytrauma patients. A trend to decrease mortality due to hemorrhagic shock was observed, but it remains unchanged for central nervous system injuries.
    Źródło:
    Polish Journal of Surgery; 2020, 92, 4; 1-6
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Analysis of the reliability of clinical examination in predicting traumatic cerebral lesions and skull fractures in patients with mild and moderate head trauma
    Autorzy:
    Żyluk, Andrzej
    Mazur, Agnieszka
    Piotuch, Bernard
    Safranow, Krzysztof
    Powiązania:
    https://bibliotekanauki.pl/articles/1396507.pdf
    Data publikacji:
    2013-12-01
    Wydawca:
    Index Copernicus International
    Tematy:
    head injury
    head computer tomography
    clinical decision rules
    Opis:
    The aim of the study was to assess the reliability of neurological examination and other factors in predicting traumatic cerebral lesions and skull fractures in patients with mild and moderate head trauma (GCS 10-15). Material and methods. Over a one-year period, 227 patients: 145 male and 82 female, aged a mean of 51 years who sustained mild or moderate head trauma (GSC 10-15) were examined neurologically and had performed head CT scans. The neurological examination as a whole and each finding of the neurological examination were tested as predictors of the presence of traumatic abnormalities in the head CT scan. Results. Post-traumatic lesions in head CT scan were found in 109 patients (48%): skull fractures in 66 of these and brain injuries in 94; fifty-eight patients had skull fracture combined with brain injury. Seventeen patients required neurosurgical intervention (hematoma evacuation). Abnormal neurological examination showed the highest reliability in identifying patients with brain injuries in CT (sensitivity 87%, specificity 79%). Of single findings, gait abnormalities and consciousness disturbances, present in sober patients, were the strongest predictors of cerebral lesions. Likewise, abnormal neurological examination was the best indicator of skull fractures (sensitivity 77%, specificity 63%). Gait abnormalities and “racoon eyes” present in alcohol intoxicated patients were the strongest individual predictors of skull fractures. Conclusion. Results of our study show neurological abnormalities as the most reliable (although not 100% accurate) in identifying patients who are likely to have brain injuries and/or skull fracture following head trauma. Use of clinical decision rules may reduce the number of head CT scans performed “just in a case”.
    Źródło:
    Polish Journal of Surgery; 2013, 85, 12; 699-705
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The results of the treatment of hand – Outcomes of the treatment of hand degloving injuries with greater omentum flaps
    Autorzy:
    Żyluk, Andrzej
    Szlosser, Zbigniew
    Puchalski, Piotr
    Powiązania:
    https://bibliotekanauki.pl/articles/1392104.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    degloving injury
    hand reconstruction
    omental flap
    soft tissue loss
    Opis:
    Degloving injury consists in tearing out the soft-tissue integument from skeleton of the hand, with accompanied nerves and vessels. The whole hand degloving has bad reputation and one of worst prognosis, even worse than total hand amputation. The range of possible salvage procedures in these cases is limited and their outcomes are unsatisfactory. One of the suitable methods is wrapping the skinned hand with pedicled or free greater omentum flap, retrieved from the abdominal cavity. The article reports outcomes of the treatment of 5 patients at a mean of 8 years after total degloving of their hands and coverage with omental flaps. All flaps healed uneventfully, but in none of the patients the whole length of the fingers was preserved. Division of stumps of 3 fingers was possible in one patient, two others had three-digital hands and remaining two had only separated thumb. Dexterity of injured hands was limited with a mean of score DASH questionnaire of 43 points. Quality of life as measured by SF-36 questionnaire was fair (58 and 53 points in physical and mental domain, respectively). Regardless this, all patients were satisfied with achieved outcomes and all returned to work, which was a confirmation of the effectiveness of the method used in their treatment.
    Źródło:
    Polish Journal of Surgery; 2019, 91, 6; 20-27
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-4 z 4

      Ta witryna wykorzystuje pliki cookies do przechowywania informacji na Twoim komputerze. Pliki cookies stosujemy w celu świadczenia usług na najwyższym poziomie, w tym w sposób dostosowany do indywidualnych potrzeb. Korzystanie z witryny bez zmiany ustawień dotyczących cookies oznacza, że będą one zamieszczane w Twoim komputerze. W każdym momencie możesz dokonać zmiany ustawień dotyczących cookies