Trauma Image and Procedure最新文献_第5页

Nonsurgical Management of Traumatic Internal Jugular Vein Rupture Using Direct Compression 直接压迫外伤性颈内静脉破裂的非手术治疗

Trauma Image and Procedure Pub Date : 2018-11-30 DOI: 10.24184/TIP.2018.3.2.62

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

引用次数: 1

Intraluminal Stomach Injury after Blunt Trauma 钝性创伤后的腔内胃损伤

Trauma Image and Procedure Pub Date : 2018-05-31 DOI: 10.24184/TIP.2018.3.1.14

D. H. Kim, Ye Rim Chang, Jung-Ho Yun

{"title":"Intraluminal Stomach Injury after Blunt Trauma","authors":"D. H. Kim, Ye Rim Chang, Jung-Ho Yun","doi":"10.24184/TIP.2018.3.1.14","DOIUrl":"https://doi.org/10.24184/TIP.2018.3.1.14","url":null,"abstract":"A 51-year-old male was admitted to the emergency room after a traffic accident. He was a carrier of hepatitis B and had liver cirrhosis of Child Pugh classification A. Upon arrival, he was stupor with multiple laceration of the scalp and face and a belt sign on the abdomen. Physical examination revealed no peritoneal irritation signs or abdominal distension. Initial computed tomography (CT) of the abdomen revealed no definite intraabdominal organ injury, except for stomach distension with the presence of intraluminal fluid (Fig. 1.). He underwent an emergency craniotomy for traumatic epidural hematoma with stable hemodynamics. His injury severity score was 38. During intensive care, massive hematochezia was presented with hypotension, and a hemoglobin level of 6.7 g/dL was observed at 11 h after the operation. In addition, esophagogastroduodenal endoscopy revealed multiple mucosal lacerations on cardia, with active bleeding and no varices (Fig. 2.). Because his hemodynamics were stabilized with response to massive transfusion (red blood cell, 16 units; fresh frozen plasma, 13 units; platelet, 16 units), he was conservatively treated with a proton pump inhibitor, antithrombin III, and tranexamic acid, and finally progressed to full recovery.","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114070770","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

CRRT during TAE in Unstable Pelvic Fracture with Severe Lactic Acidosis 不稳定骨盆骨折伴严重乳酸酸中毒TAE患者的CRRT

Trauma Image and Procedure Pub Date : 2018-05-31 DOI: 10.24184/TIP.2018.3.1.20

C. Park, H. Cho, Hoon Kwon, C. Jeon, C. Kim

{"title":"CRRT during TAE in Unstable Pelvic Fracture with Severe Lactic Acidosis","authors":"C. Park, H. Cho, Hoon Kwon, C. Jeon, C. Kim","doi":"10.24184/TIP.2018.3.1.20","DOIUrl":"https://doi.org/10.24184/TIP.2018.3.1.20","url":null,"abstract":"A 60-year-old male presented to the emergency department at midnight through referral by another hospital, where he underwent transcatheter arterial embolization (TAE) for pelvic bleeding that developed after falling from a height of 9 m. The patient’s vital signs were as follows: systolic blood pressure, 70 mm Hg; pulse rate, 128 beats/min; respiration rate, 40 breaths/min; body temperature, 36.3°C; and oxygen saturation, 89%. Accordingly, immediate intubation and mechanical ventilation were performed. His initial arterial blood gas analysis (ABGA) revealed a pH of 6.99, HCO3− of 10.8, lactic acid profile of 13.5 mmol/L, and a base excess of −19.6. Abdominal CT after fluid resuscitation demonstrated an unstable pelvic ring fracture (Fig. 1.). The patient was therefore suspected of hemorrhagic shock caused by persistent bleeding from the blood vessels in the pelvis. Therefore, we decided to perform TAE for hemorrhage control. Priming of the continuous renal replacement therapy (CRRT) was conducted during the interventional radiologist’s visit to the hospital. A catheter was inserted via the left femoral vein in the intervention room immediately before Treatment Progression in Trauma eISSN: 2508-8033 pISSN: 2508-5298","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133362414","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

Traumatic Atlanto-Occipital Dislocation: Two Cases 外伤性寰枕脱位2例

Trauma Image and Procedure Pub Date : 2018-05-31 DOI: 10.24184/TIP.2018.3.1.5

D. H. Kim, Jung-Ho Yun

引用次数: 0

Penetrating Neck Injury Evolving into Thyroid Injury with Empty Cartridge 穿透性颈部损伤演变为甲状腺空弹损伤

Trauma Image and Procedure Pub Date : 2018-05-31 DOI: 10.24184/TIP.2018.3.1.3

P. Y. Jung

引用次数: 1

Soft Tissue Management of Degloving Wounds: Two Cases 脱手套伤口的软组织处理2例

Trauma Image and Procedure Pub Date : 2018-05-31 DOI: 10.24184/TIP.2018.3.1.30

Sung Jin Kim, D. Ma

引用次数: 0

Usefulness of C-Arm Fluoroscopy in Treating Patients Injured by a Shotgun c臂透视在治疗霰弹枪伤患者中的应用

Trauma Image and Procedure Pub Date : 2018-05-31 DOI: 10.24184/TIP.2018.3.1.23

P. Y. Jung, K. Kwon

引用次数: 0

Penetrating Torso Injury Cause by a Steel Bar 由钢筋造成的穿透性躯干伤害

Trauma Image and Procedure Pub Date : 2018-05-31 DOI: 10.24184/TIP.2018.3.1.11

Jin Young Lee, S. J. Go, Y. Sul, J. Ye, S. Yoon, Hong Rye Kim, Mou-Seop Lee, J. Choi, D. Ryu

引用次数: 0

Right Hemihepatectomy after Damage control Surgery for High-grade Hepatic Injury with Diaphragm Rupture 重度肝损伤并膈膜破裂的控制术后右半肝切除术

Trauma Image and Procedure Pub Date : 2018-05-31 DOI: 10.24184/TIP.2018.3.1.25

D. H. Kim

{"title":"Right Hemihepatectomy after Damage control Surgery for High-grade Hepatic Injury with Diaphragm Rupture","authors":"D. H. Kim","doi":"10.24184/TIP.2018.3.1.25","DOIUrl":"https://doi.org/10.24184/TIP.2018.3.1.25","url":null,"abstract":"A 40-year-old male was admitted with penetrating and blunt injury to his right thoracoabdominal area caused by a crushing accident at his workplace (Fig. 1.). Upon admission, he was alert with a blood pressure of 135/81 mm Hg, pulse rate of 109 beats/min, respiratory rate of 40/min, and hemoglobin level of 8.5 g/dL. Physical examination revealed peritoneal irritation signs on the whole abdomen. A focused assessment with sonography for trauma revealed large amounts of intra-abdominal fluid collection in the Morison pouch and splenorenal recess. Computed tomography performed in response to resuscitation demonstrated a right hepatic injury and a right diaphragm rupture with herniation of the colon (Fig. 2.). He underwent emergency laparotomy, including primary repair of the right diaphragm, perihepatic packing, and temporary abdominal closure, with an operation time of 84 min (Video 1.). After the damage control surgery, a lethal triad with a pH of 7.26, lactate level of 4.3 mmol/L, international normalized ratio of 2.40, and a temperature of 35.1°C occurred and was corrected after resuscitation of transfusion and warming in the intensive care unit (ICU). Definitive surgery, including right hemihepatectomy and definitive abdominal closure, was performed 12 h after the first operation (Video 2.). The patient was discharged without any complications 20 days after the definitive surgery.","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130190684","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

The Importance of a Multidisciplinary Approach to High Voltage Electrical Injuries 多学科方法对高压电气伤害的重要性

Trauma Image and Procedure Pub Date : 2018-05-31 DOI: 10.24184/TIP.2018.3.1.17

Ho Hyoung Lee, Joongsuck Kim, Min Koo Lee, Kyounghwan Kim, Sung Ho Han, S. Chon, O. Kwon

{"title":"The Importance of a Multidisciplinary Approach to High Voltage Electrical Injuries","authors":"Ho Hyoung Lee, Joongsuck Kim, Min Koo Lee, Kyounghwan Kim, Sung Ho Han, S. Chon, O. Kwon","doi":"10.24184/TIP.2018.3.1.17","DOIUrl":"https://doi.org/10.24184/TIP.2018.3.1.17","url":null,"abstract":"A 36-year-old female participated in paragliding during a visit to Jeju island. Due to a rogue wind gust, her and pilot crashed into a high voltage (22000 V) electrical wire. Her ankle was hung from the electrical wire. The pilot was in cardiac arrest upon arrival of emergency personnel at the scene. Her initial vital signs were 128/81mmHg-121/min-20/min-37.8°C, and her EKG was nonspecific. She complained of severe pain in her left-side extremities. We found a severe burn (grade III-IV) on her left upper and lower extremities (Fig. 1.). We inserted a right subclavian central catheter and an additional internal jugular hemo-catheter for vigorous hydration and preparation of hemodialysis. Traumatologists performed an escharotomy on her upper and lower extremities and called for an orthopedic surgeon. The traumatologist and orthopedic doctor elected to perform an emergency operation (fasciotomy of the left upper limb and above-knee amputation of the left lower limb). Her initial urine myoglobulin level was 1923 mcg/L. After resuscitation, she was sent to the operation room. One orthopedic doctor and two traumatologists performed an above-knee amputation and fasciotomy, simultaneously (Fig. 2.). For pain control and facilitation of further operational procedures, we kept the patient ventilated and under continuous infusion of sedatives and analgesics. After the first operation, we consulted a nephrologist and applied renal replacement therapy to her. We debrided and irrigated the necrotic tissue. Finally, she was transferred to the burn center for advanced burn management. Treatment Progression in Trauma eISSN: 2508-8033 pISSN: 2508-5298","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130232846","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