Tidsskrift for Den Norske Laegeforening最新文献_第6页

Pasienter innlagt ved en medisinsk intensivavdeling etter henging 2010–21. 2010-21 年被绞死后送入内科重症监护室的患者。

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2024-09-10 Print Date: 2024-09-24 DOI: 10.4045/tidsskr.23.0796

Hanqing Sun, Cecilie Hotvedt, Dag Jacobsen

{"title":"Pasienter innlagt ved en medisinsk intensivavdeling etter henging 2010–21.","authors":"Hanqing Sun, Cecilie Hotvedt, Dag Jacobsen","doi":"10.4045/tidsskr.23.0796","DOIUrl":"https://doi.org/10.4045/tidsskr.23.0796","url":null,"abstract":"Background: Hanging is one of the most common causes of death among young adults in Norway. Our aim was to study the hospital course and cerebral function on discharge in patients admitted to our Medical Intensive Care Unit after hanging without skeletal injury.Material and method: Retrospective study based on the medical records of patients admitted to the Medical Intensive Care Unit at Oslo University Hospital (OUS), Ullevål after hanging, from January 2010 to December 2021. Cerebral function on discharge was classified according to Cerebral Performance Category (CPC) from grade 1 (normal cerebral function) to 5 (brain death).Results: 135 patients were admitted to OUS after hanging during the period; 60 of these were admitted to the Medical Intensive Care Unit and were included in this study. There were 35 men and 25 women. Mental illness was documented in the medical records of 43 patients, somatic illness in 24, previous substance abuse in 19, and previous suicide attempts in 19. Upon admission, 34 patients had suffered cardiac arrest, and 39 had a Glasgow Coma Scale (GCS) score of 3. The most common complication was pneumonia (n=42). Twenty-seven patients (45%) died, all with a GCS score of 3 on admission, of which 25 had pre-hospital cardiac arrest. Ten became organ donors. Among the 33 survivors, 28 had a CPC score of 1 and five had a CPC score of 2 on discharge. The median lactate concentration at admission was 8.1 mmol/L among those who died versus 3.8 mmol/L among survivors.Interpretation: Hanging has a high mortality rate. Cardiac arrest, a GCS score of 3, and lactic acidosis were more common among those who died than among the survivors. The organ donation rate was high, and most survivors had a good cerebral function, assessed by CPC score.","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142354397","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

Henging. Henging.

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2024-09-10 Print Date: 2024-09-24 DOI: 10.4045/tidsskr.24.0449

Pål Klepstad

引用次数: 0

Rettelse: En kvinne i 30-årene med brystsmerter og sirkulatorisk sjokk etter fødsel. 更正：一名 30 多岁的妇女在分娩后出现胸痛和循环休克。

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2024-09-10 Print Date: 2024-09-11 DOI: 10.4045/tidsskr.24.0454

Ida Marie Nyhagen Vikan, Kristin Skogøy, Sofie Strand Klausen, Jordi Deu, Erik Waage Nielsen

引用次数: 0

Sustainable infection control - gloves off. 可持续的感染控制--摘掉手套。

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2024-09-09 Print Date: 2024-09-10 DOI: 10.4045/tidsskr.24.0343

Christian Borgen Lindstad, Torni Myrbakk, Mette Fagernes, Hanne-Merete Eriksen-Volle, Erlend Tuseth Aasheim

引用次数: 0

Gazas barn. 加扎斯谷仓

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2024-09-09 Print Date: 2024-09-10 DOI: 10.4045/tidsskr.24.10.01

Are Brean

引用次数: 0

An abrupt end. 戛然而止

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2024-09-09 Print Date: 2024-09-10 DOI: 10.4045/tidsskr.24.0447

Kari Tveito

引用次数: 0

Autism or Sukhareva's syndrome? 自闭症还是苏卡雷瓦综合症？

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2024-09-09 Print Date: 2024-09-10 DOI: 10.4045/tidsskr.24.0310

Ola H Skjeldal, Maj-Britt Posserud

引用次数: 0

En kvinne i 30-årene med brystsmerter og sirkulatorisk sjokk etter fødsel. 一名 30 多岁的妇女在分娩后出现胸痛和循环休克。

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2024-09-09 Print Date: 2024-09-10 DOI: 10.4045/tidsskr.23.0774

Ida Marie Nyhagen Vikan, Kristin Skogøy, Sofie Strand Klausen, Jordi Deu, Erik Waage Nielsen

{"title":"En kvinne i 30-årene med brystsmerter og sirkulatorisk sjokk etter fødsel.","authors":"Ida Marie Nyhagen Vikan, Kristin Skogøy, Sofie Strand Klausen, Jordi Deu, Erik Waage Nielsen","doi":"10.4045/tidsskr.23.0774","DOIUrl":"10.4045/tidsskr.23.0774","url":null,"abstract":"Background: Bleeding is a serious cause of hypotension and tachycardia after childbirth and should always be considered.Case presentation: A healthy woman in her thirties who had previously undergone caesarean section, underwent induction and operative vaginal delivery. Postpartum, she experienced chest pain, hypotension and tachycardia, and had signs of ischaemia on electrocardiogram. A CT scan showed a large intraperitoneal haematoma. The patient underwent immediate laparotomy and received a massive blood transfusion. However, no large haematoma was found. The chest pain was attributed to a myocardial infarction caused by hypovolaemic shock. After discharge, the patient experienced significant vaginal bleeding and was transferred to a different university hospital. A CT scan revealed a large retroperitoneal haematoma. Emergency surgery was performed based on the suspicion of active bleeding, but only an older haematoma was found. Re-evaluation of the initial CT scan revealed that the haematoma was in fact located retroperitoneally and was thereby not found in the first operation.Interpretation: This case highlights the importance of bleeding as an important cause in unstable postpartum patients. Additionally, it is a reminder that retroperitoneal haematomas can occur in obstetric patients and can mask typical symptoms of uterine rupture such as abdominal pain. also hindering perioperative diagnosis.","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142296149","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

Should doctors be allowed to disclose genetic information to patients' families? 是否应允许医生向患者家属披露基因信息？

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2024-09-09 Print Date: 2024-09-10 DOI: 10.4045/tidsskr.24.0400

Joar Røkke Fystro

引用次数: 0

Alveolar echinococcosis. 肺泡棘球蚴病

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2024-09-09 Print Date: 2024-09-10 DOI: 10.4045/tidsskr.24.0121

Mogens Jensenius, Kristine Mørch, Sheraz Yaqub, Dag Seeger Halvorsen, Henrik Mikael Reims, Ida Gabriella Björk, Bård Ingvald Røsok, Gunnar Oltmanns, Kirsti Helbak, Øivind Øines, Tore Lier

引用次数: 0