Trauma Image and Procedure最新文献_第3页

The need for multiple vascular access or preemptive central venous catheterization in patients requiring planned interhospital helicopter transport: a flight doctor’s suggestion 需要计划的医院间直升机运输的患者需要多血管通路或先发制人的中心静脉导管:飞行医生的建议

Trauma Image and Procedure Pub Date : 2021-11-30 DOI: 10.24184/tip.2021.6.1.28

Hyung Il Kim

引用次数: 0

Incidental appendicitis in a blunt trauma patient: a case report 钝性创伤患者偶发阑尾炎1例

Trauma Image and Procedure Pub Date : 2021-11-30 DOI: 10.24184/tip.2021.6.1.16

KwangJin Lee, P. Y. Jung

引用次数: 0

Unusual complications of the central venous catheterization in trauma patients 创伤患者中心静脉置管的异常并发症

Trauma Image and Procedure Pub Date : 2021-11-30 DOI: 10.24184/tip.2021.6.1.32

Yoonjung Heo, D. H. Kim

引用次数: 0

Inappropriate Resuscitative endovascular balloon occlusion of the aorta (REBOA) Catheter Placement in Patient With Unexpected Left Common Iliac Artery Rupture 意外左髂总动脉破裂患者不适当的复苏血管内球囊阻塞主动脉(REBOA)导管置入

Trauma Image and Procedure Pub Date : 2019-05-31 DOI: 10.24184/tip.2019.4.1.10

Seong Chan Gong, P. Y. Jung

{"title":"Inappropriate Resuscitative endovascular balloon occlusion of the aorta (REBOA) Catheter Placement in Patient With Unexpected Left Common Iliac Artery Rupture","authors":"Seong Chan Gong, P. Y. Jung","doi":"10.24184/tip.2019.4.1.10","DOIUrl":"https://doi.org/10.24184/tip.2019.4.1.10","url":null,"abstract":"A 70-year-old man came to our facility after a car accident. The vital signs were unstable; blood pressure could not be recorded at the time of arrival. Immediately after arrival, cardiac arrest occurred twice, and resuscitation was successful. In the emergency room, he underwent brief sonographic examination, and a massive fluid collection was observed in the splenorenal recess. Resuscitative endovascular balloon occlusion of the aorta (REBOA) was also performed with blind puncture technique during the resuscitation. The balloon was inflated with 25 mL of normal saline, but there was no sense of resistance, which is considered unusual. Placement of the catheter tip was checked with bedside ultrasonography but was not clearly confirmed because of the massive fluid collection. In general, catheter tip placement is confirmed with radiography, fluoroscopy, or ultrasonography (1), but the serious emergency situation precluded these assessments. The patient’s blood pressure recovered to 80/50 mm Hg, and he was moved to the operating room immediately. During the operation, vascular rupture from aortic bifurcation to the left common iliac artery was confirmed (Fig. 1). The REBOA catheter was found to be misplaced: It had been inserted correctly via the femoral artery, but it exited through the ruptured pore of the iliac artery (Fig. 2). We inserted the catheter back into the aorta urgently and then compressed the injured site to control bleeding; however, cardiac arrest continued. The abdomen was closed, the patient was moved to the intensive care unit, and then he was pronounced dead. Brief Image in Trauma eISSN: 2508-8033 pISSN: 2508-5298","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125997159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intraoperative Application of Resuscitative endovascular balloon occlusion of the aorta (REBOA) to Traumatic Vascular Injury 术中复苏血管内球囊阻断主动脉在外伤性血管损伤中的应用

Trauma Image and Procedure Pub Date : 2019-05-31 DOI: 10.24184/tip.2019.4.1.12

J. Ko, P. Y. Jung

{"title":"Intraoperative Application of Resuscitative endovascular balloon occlusion of the aorta (REBOA) to Traumatic Vascular Injury","authors":"J. Ko, P. Y. Jung","doi":"10.24184/tip.2019.4.1.12","DOIUrl":"https://doi.org/10.24184/tip.2019.4.1.12","url":null,"abstract":"A 63-year-old woman was in a car accident; she had been sitting in the passenger seat. In the emergency room, the patient’s blood pressure was 82/46 mm Hg, the pulse rate was 84 beats/min, and her level of consciousness was normal. The lower abdomen was bruised with a seat belt sign (Fig. 1.). The extended focused assessment sonography in trauma showed a moderate to severe intra-abdominal fluid collection in Morison's pouch and in perivesical sites. The hemoglobin level was 8.8 g/dL, and the lactate level was 1.82 mmol/L. No further imaging tests were performed, and exploratory surgery proceeded immediately. The operative findings were perforations of the transverse colon and transverse mesocolon. Repair with primary sutures was performed. After surgery, the patient went to the intensive care unit; immediately after her arrival there, intra-abdominal bleeding was confirmed through the drainage bag. Therefore, she underwent a second emergency laparotomy. Vessels near the superior mesenteric artery under the transverse mesocolon were damaged. We could not find the definite bleeding focus because massive bleeding obscured vision, and the patient’s blood pressure was unstable. We thus performed resuscitative endovascular balloon occlusion of the aorta (REBOA) intraoperatively. The balloon was placed in zone I of the aorta, but for various reasons, we could not pinpoint the location of the catheter in operating room (Fig. 2.). After bleeder ligation and deflation of the balloon, there was no more active bleeding. The balloon was maintained for 21 minutes Treatment Progression in Trauma eISSN: 2508-8033 pISSN: 2508-5298","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"80 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130785733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sonographic Diagnosis of Biloma in Severe Traumatic Liver Injury 重型外伤性肝损伤胆瘤的超声诊断

Trauma Image and Procedure Pub Date : 2019-05-31 DOI: 10.24184/tip.2019.4.1.6

C. Park, Wu-Seong Kang, S. Seo, S. Moon

{"title":"Sonographic Diagnosis of Biloma in Severe Traumatic Liver Injury","authors":"C. Park, Wu-Seong Kang, S. Seo, S. Moon","doi":"10.24184/tip.2019.4.1.6","DOIUrl":"https://doi.org/10.24184/tip.2019.4.1.6","url":null,"abstract":"A 41-year-old man presented to the emergency department after a pedestrian traffic accident. The initial vital signs were unstable: systolic blood pressure, 80 mm Hg; pulse rate, 56 beats/min; respiration rate, 16 breaths/min; body temperature, 36.0°C; and oxygen saturation, 95%. Early abdominal computed tomography (CT) of the right side of the liver showed American Association for the Surgery of Trauma (AAST) grade IV injury, according to the Organ Injury Scale (OIS) score, with extravasation of contrast material (Fig. 1.). On the same day, hepatic artery angiography showed active bleeding in segments 5, 7, and 8, and embolization was performed (Fig. 2.). Liver enzyme levels (aspartate aminotransferase, 1036 IU/L; alanine transferase, 1192 IU/L) were highest on day 3 after admission. No extravasation of contrast material was observed on abdominal CT performed on day 3 (Fig. 3.). On day 5, the patient developed abdominal pain in the right upper quadrant. The focus of pain was more lateral than the location of the gallbladder on initial abdominal CT, and tenderness was also observed on physical examination. On abdominal ultrasonography, biloma was observed in the hepatic dome. Therefore, percutaneous drainage was performed (Fig. 4.). Biloma was still observed on abdominal CT 2 weeks later (Fig. 5.).","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124049950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Confusing Finding in Hepatic Injury With Diaphragmatic Rupture 肝损伤伴膈破裂的混淆表现

Trauma Image and Procedure Pub Date : 2019-05-31 DOI: 10.24184/tip.2019.4.1.1

P. Y. Jung

引用次数: 0

Laparoscopic Peritoneal Repair for Stab Injury 刺伤的腹腔镜腹膜修复

Trauma Image and Procedure Pub Date : 2019-05-31 DOI: 10.24184/tip.2019.4.1.25

D. H. Kim

{"title":"Laparoscopic Peritoneal Repair for Stab Injury","authors":"D. H. Kim","doi":"10.24184/tip.2019.4.1.25","DOIUrl":"https://doi.org/10.24184/tip.2019.4.1.25","url":null,"abstract":"The following three patients with stab injuries of abdomen were hemodynamically stable; physical examination of their abdomens revealed no diffuse peritoneal irritation. Computed tomographic scans of their abdomens showed penetration of the fascia and the presence of free fluid without definite intra-abdominal organ injury. Diagnostic laparoscopy was performed in those patients and demonstrated no intra-abdominal organ injury except for peritoneal laceration. Laparoscopic techniques of peritoneal repair are described as follows: 1. A 24-year-old woman with significant two stab injuries in the upper abdomen (left lower chest wall, 1.5 cm long, and right upper quadrant, 2.5 cm long) underwent laparoscopic primary repair of peritoneum. Intracorporeally simple suturing with Vicryl 3-0 were performed on peritoneal lacerations (Video 1). 2. A 32-year-old man with stab injury (2.7 cm long) in the right upper quadrant underwent laparoscopic primary repair of the peritoneum with barbed sutures. The peritoneal laceration was continuously sutured with knotless, unidirectional, barbed monofilament absorbable sutures (V-Loc; Video 2). 3. A 50-year-old woman with a stab injury (1.2 cm long) in the right upper quadrant underwent surgery under laparoscopic view. The suture passer was pulled through each fascia margin of the wound so that the end of each prepared suture rested in the abdominal cavity. On the injured fascia, a knot was extracorporeally tied, and peritoneal repair was completed (Video 3).","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"95 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116494267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pericardial Injury With Cardiac Tamponade From Multiple Stab Injuries of the Trunk: Incidental Release of Cardiac Tamponade 躯干多处刺伤致心包损伤伴心包填塞:心包填塞偶然释放

Trauma Image and Procedure Pub Date : 2019-05-31 DOI: 10.24184/tip.2019.4.1.22

P. Y. Jung, K. Kim

{"title":"Pericardial Injury With Cardiac Tamponade From Multiple Stab Injuries of the Trunk: Incidental Release of Cardiac Tamponade","authors":"P. Y. Jung, K. Kim","doi":"10.24184/tip.2019.4.1.22","DOIUrl":"https://doi.org/10.24184/tip.2019.4.1.22","url":null,"abstract":"From a regional local hospital, a 34-year-old man who had schizophrenia was transferred to our institution with multiple stab injuries of the trunk, sustained in a suicide attempt (Fig. 1.). At admission, the patient’s vital signs were unstable; cardiac arrest occurred, and return of spontaneous circulation was achieved after one cycle of cardiopulmonary resuscitation. The extended focused assessment sonography in trauma revealed positive signs in the pericardium and splenorenal space. Computed tomographic scans taken at the previous hospital showed hemopericardium and hemoperitoneum (Fig. 2.). Emergency surgery of the chest and abdomen was begun simultaneously. During opening of the chest with median sternotomy, cardiac arrest occurred again; We performed open cardiac massage, and spontaneous circulation resumed. The surgical finding was a complete transection of the left internal mammary vessels, which was the cause of hemopericardium (Fig. 3.). The epicardium of the right ventricle, the greater omentum, and the spleen were injured; the diaphragmatic injury may have served as a pericardial window of injury into the abdomen cavity. We performed ligation of the left internal mammary vessels, splenectomy, omentectomy, and primary repair of the diaphragm. The patient recovered and was discharged without any complication 24 days after admission (Fig. 4.).","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127065721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Delayed Pseudoaneurysm Rupture in Low-Grade Splenic Injury 低级别脾损伤的迟发性假性动脉瘤破裂

Trauma Image and Procedure Pub Date : 2019-05-31 DOI: 10.24184/tip.2019.4.1.15

C. Park, Sora Ahn, Wu-Seong Kang, S. Seo, S. Moon

引用次数: 0