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[Pancreatic injuries: analysis of 20 cases]. 胰腺损伤20例分析
Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES Pub Date : 2002-10-01
Zulfikar Karabulut, Settar Bostanoglu, Hasan Besim, Okan Hamamci, Atilla Korkmaz
{"title":"[Pancreatic injuries: analysis of 20 cases].","authors":"Zulfikar Karabulut,&nbsp;Settar Bostanoglu,&nbsp;Hasan Besim,&nbsp;Okan Hamamci,&nbsp;Atilla Korkmaz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study is to stage pancreatic injury and to assess the appropriate surgical approach. Trauma leading to pancreatic injury, factors responsible for the mortality and complication rates are evaluated and compared with the literature.</p><p><strong>Methods: </strong>Records of 20 patients with pancreatic injuries treated at the Emergency Surgical Unit of Research Hospital between January 1997 to October 2001 were retrospectively evaluated.</p><p><strong>Results: </strong>In this series 20 per cent of the mortality occurred within the first 48 hours. The factor responsible for the mortality in these patients was major bleeding; related to major vascular, hepatic, splenic, renal or thoracic injuries. Late mortality was seen in 3 patients (15 per cent) due to sepsis, respiratory insufficiency or ARDS. ln the literature mortality rate is between 5 to 30 per cent and morbidity rate is 30 to 64 per cent. In this series, these percentages were 35 per cent and 43 per cent respectively.</p><p><strong>Conclusion: </strong>The surgical therapy should be tailored up to the presence of ductal injury and the extent and anatomical localization of the injured segment. In principle the control of bleeding and contamination, and application of the appropriate surgical treatment can lower the morbidity and mortality. Key words: Abdominal trauma, pancreatic injury, pancreatic drainage</p>","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"237-42"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22096794","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
[Evaluation of stress factors and burnout in the emergency department staff]. 急诊科工作人员压力因素与职业倦怠的评价
Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES Pub Date : 2002-10-01
Murat Kalemoglu, Ozcan Keskin
{"title":"[Evaluation of stress factors and burnout in the emergency department staff].","authors":"Murat Kalemoglu,&nbsp;Ozcan Keskin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Burnout has been defined as a syndrome of emotional exhaustion, depersonalization, and 1 reduced personal accomplishment. The syndrome have been linked to high levels of absenteeism from work among professionals group.</p><p><strong>Methods: </strong>We studied on 22 emergency service and 22 other health staff working at our Hospital. We investigated on health workers with burnout symptoms by the protocol was self-reported (using a poll). Also we used, Maslach Burnout Inventory in order to obtain as valid data as possible to assess the level of burnout.</p><p><strong>Result: </strong>45.3% showed high levels of burnout on emotional exhaustion subscale, 32.~% on depersonalizaion subscale and 28.1% on personal accomplishment. Seven (31.82%) have been determined to be under serious. stress based on the investigation in emergency services; where as 2 (9.09%) in other health services workers as well (t=1.903; p< 0.05 ).</p><p><strong>Conclusion: </strong>Burnout symptoms were more likely to occur in the emergency personnel than the other health service workers. Sharing experiences with family and friends and with other health staff who understand what health staffs do best, prevents burnout syndrome.</p><p><strong>Keywords: </strong>Burnout, emergency services, stress.</p>","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"215-9"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22097789","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
[Reconstruction with vein graft interposition and pedicled muscle flap in a patient with above.elbow partial arm amputation]. 静脉移植物间置带蒂肌瓣重建1例。肘部部分手臂截肢]。
Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES Pub Date : 2002-10-01
Sitki Goksu, Hasan Kocoglu, Cuma Yildirim, Atilla Tutak, Unsal Oner
{"title":"[Reconstruction with vein graft interposition and pedicled muscle flap in a patient with above.elbow partial arm amputation].","authors":"Sitki Goksu,&nbsp;Hasan Kocoglu,&nbsp;Cuma Yildirim,&nbsp;Atilla Tutak,&nbsp;Unsal Oner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is difficult to decide replantation or revascularization in partial or total amputations proximal to the wrist. Important point is the expected functional result and/ or protection of sensibility. Crush type partial or total amputations have poor prognosis. In addition to the vascular injury there are also broad cutaneous and muscular injury which have a potential risk for necrosis and infection. And this may threat the patient's life. In this case report, as two major nerves seemed intact, arterial reconstruction by a vein graft 22 cm. long and protection of important structures such as vein graft, nerves and bone which were exposed after debridement was performed by pedicled latissimus dorsi muscle flap in an above-elbow partial amputation caused by crush injury, and successful result was obtained. Key Words: Major limb amputation, revascularization, vein graft, pedicled muscle flap.</p>","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"259-63"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22096799","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
Tc-99 HMPAO cerebral SPECT imaging in brain death patients with complex spinal automatism. Tc-99 HMPAO脑SPECT在复杂脊柱自动性脑死亡患者中的应用。
Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES Pub Date : 2002-10-01
Ferda Kahveci, Ahmet Bekar, Fevzi Tamgac
{"title":"Tc-99 HMPAO cerebral SPECT imaging in brain death patients with complex spinal automatism.","authors":"Ferda Kahveci,&nbsp;Ahmet Bekar,&nbsp;Fevzi Tamgac","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study is to evaluate the value ofTc-99 HMP AO cerebral SPECT imaging to confirm brain death in patients with complex spinal automatism.</p><p><strong>Methods: </strong>Fifteen patients (8 female, 7 male) aged between 1,5-48 years showing spinal movements within 24-72 hours after brain death were examined with Tc-99 HMPAO cerebral SPECT.</p><p><strong>Results: </strong>All patients demonstrated empty skull on Tc-99 HMPAO images and no contradictory case was ob- served between standard clinical criteria and SPECT study.</p><p><strong>Conclusion: </strong>Non-invasive brain SPECT study is valuable to diagnose and confirm brain death with spinal automatism in adults and children. Key words: Tc-99 HMPAO SPECT, brain death, spinal automatism</p>","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"198-201"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22097786","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
Abdominal vascular injuries: a continuing challenge. 腹部血管损伤:一个持续的挑战。
Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES Pub Date : 2002-10-01
Juan A Asensio, Patrizio Petrone, Tamer Karsidag, J Ricardo Ramos-Kelly, Sinan Demiral, Gustavo Roldan, Rattaplee Pak-Art, Eric Kuncir
{"title":"Abdominal vascular injuries: a continuing challenge.","authors":"Juan A Asensio,&nbsp;Patrizio Petrone,&nbsp;Tamer Karsidag,&nbsp;J Ricardo Ramos-Kelly,&nbsp;Sinan Demiral,&nbsp;Gustavo Roldan,&nbsp;Rattaplee Pak-Art,&nbsp;Eric Kuncir","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"189-97"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22097785","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
[Selective approach to the penetrating stab wounds to the abdomen]. [腹部穿透性刺伤的选择性处理方法]。
Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES Pub Date : 2002-10-01
Ilhan Emergen, Feza Ekiz, Tayfun Yucel, Ayhan Akpinar, Dogan Gonullu, Nesimi Mecit
{"title":"[Selective approach to the penetrating stab wounds to the abdomen].","authors":"Ilhan Emergen,&nbsp;Feza Ekiz,&nbsp;Tayfun Yucel,&nbsp;Ayhan Akpinar,&nbsp;Dogan Gonullu,&nbsp;Nesimi Mecit","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>To present the results of the selective treatment on the penetrating stab wound to the abdomen</p><p><strong>Methods: </strong>From December 1997 to February 200, 175 patients had penetrating stab wound injuries to the abdomen. Of the 175 patients, 61 (34.9%) in Group I were taken to the operating room urgently, 114 (65.1%) in Group 11 were treated selectively.</p><p><strong>Results: </strong>It is evident that the rate of unnecessary laparotomies (X2=6.7, p=0.03), morbidity rate (X2=15.4, p<O.OO1), and hospital stay (F=54, p<O.OOO1 ) in the selectively treated group decrease significantly when compared with the non-selective group.</p><p><strong>Conclusion: </strong>Selective approach to the penetrating stab wounds to the abdomen is a safe method. Furthermore, this method obviates most of the unnecessary laparotomies. For this reason, morbidity rate and hospitalization decrease significantly. Key words: Conservative treatment, unnecessary laparotomy, morbidity, hospital stay.</p>","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"209-14"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22097788","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
[Massive lower gastrointestinal bleeding in the elderly]. [老年人大量下消化道出血]。
Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES Pub Date : 2002-10-01
Recep Guloglu, Cemalettin Ertekin, Orhan Alimoglu, Korhan Taviloglu, Hizir Akyildiz
{"title":"[Massive lower gastrointestinal bleeding in the elderly].","authors":"Recep Guloglu,&nbsp;Cemalettin Ertekin,&nbsp;Orhan Alimoglu,&nbsp;Korhan Taviloglu,&nbsp;Hizir Akyildiz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>This study was performed to evaluate the results of massive lower gastrointestinal bleeding in the elderly patients.</p><p><strong>Methods: </strong>The data of patients older than 60 years with massive lower gastrointestinal bleeding were retrospectively analyzed between January 1999 and March 2002.</p><p><strong>Results: </strong>There were 14 (52%) males and 13 (48%), females with mean age of 70.2 years (range 60 to 88). Twenty patients were diagnosed with colonoscopy. Angiography was employed in six, scintigraphy in three and r- enteroclysis in two patients. Colonic diverticulosis was the leading etiologic factor (48%). Mean comorbidity and hospital stay were 1.59 and 6.7 days, respectively. Conservative treatment were performed in eighteen, band JCC, ligation in three, surgery in five and embolization in two patients. Mortality rate was 26%. Mortality was high it in patients who had a lower initial diastolic pressure and required more transfusions (p:0.006 and p:0.025, respectively )</p><p><strong>Conclusion: </strong>Massive lower gastrointestinal system bleeding in the elderly with comorbidities is associated with higher rate of mortality. Surgery in these patients has high mortality rates. Endoscopic and conservative diagnosis and treatment methods should be the first choice in the elderly. Key words: Bleeding, lower gastrointestinal system, elderly.</p>","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"202-8"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22097787","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 factors affecting mortality in complicated emergency cases who were transferred to our center after being operated on]. [手术后转到我中心的复杂急诊病例死亡率的影响因素]。
Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES Pub Date : 2002-10-01
Yilmaz Akgun, Gulsen Yilmaz
{"title":"[The factors affecting mortality in complicated emergency cases who were transferred to our center after being operated on].","authors":"Yilmaz Akgun,&nbsp;Gulsen Yilmaz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>To find out the deficiencies related to education and experience of surgeons about the surgical treatment of emergency patients, and to investigate their effects on mortality.</p><p><strong>Methods: </strong>The records of 214 patients, who were transferred to our department after being operated with the diagnosis of abdominal trauma or acute abdomen in last 7 years, were reviewed.</p><p><strong>Results: </strong>Total mortality rate was 34.1%.1t was seen that 14.5% in patients who underwent efficient surgical treatment and 42.1 % in patients whose treatment was inefficient.</p><p><strong>Conclusion: </strong>In centre when intensive care unit does not exist, immediately transportation of emergency operated patients with high risk will decrease morbidity and mortality rates. Participation of the surgeons who deal with emergency surgery to the post graduating courses adapting their experiences to the current improvements has also importance. Key words: Abdominal trauma, acute abdomen, postoperatively transported patients, mortality, surgery training.</p>","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"243-9"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22096795","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 patient with liver trauma and incomplete behcet s disease. 1例肝外伤合并不完全性白塞病患者。
Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES Pub Date : 2002-10-01
Ahmet Ender Demirkiran, Hedef Ozgun, Serdar Mustafa Ozbas, Ali Dogan Bozdag, Alev Akdilli
{"title":"A patient with liver trauma and incomplete behcet s disease.","authors":"Ahmet Ender Demirkiran,&nbsp;Hedef Ozgun,&nbsp;Serdar Mustafa Ozbas,&nbsp;Ali Dogan Bozdag,&nbsp;Alev Akdilli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Behcet' s Disease (BD ) is a complex multisystemic disease, which is characterized by recurrent oral and genital aphteous ulcers and iritis in which vasculitis can also be one of the possible clinical manifestations. A thirty seven year-old female patient with incomplete BD was admitted to emergency service, with intra-abdominal hemorrhage more severe than that would be expected, with the degree of related trauma. We decided to manage the patient conservatively, observing vital signs, haemogram, computed tomography (CT) and angiography instead. Subcapsular hematomas were detected in the right and left lobes of the liver. No data was encountered in the literature and textbooks referring to liver trauma with BD, except a case of fatal hemobilia. H ere in we present a liver trauma case with hemorrhage and hepatic fragility due to vasculitis in Behcet' s disease and review the literature. Key words: liver trauma, incomplete Behcet' s disease</p>","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"253-5"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22096797","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
[Ischemia of the hand following radial artery catheterization]. [桡动脉置管后手部缺血]。
Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES Pub Date : 2002-10-01
Serhat Ozbek
{"title":"[Ischemia of the hand following radial artery catheterization].","authors":"Serhat Ozbek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 26 year old women with a history of drug intoxication was taken to intensive care unit and had an ischemic, hand injury due to insufficient collateral low after placement of a radial artery catheter. Ischemic hand injury 1 occurred 36 hours after the cannulation. The patient had fingers gangrene in spite of the removal of the catheter, elevation and heating of the hand, systemic anticoagulation therapy, stellate ganglion blockade, and peripheral circulatory regulator therapy. Any evidence of hand ischemia after radial artery cannulation should be aggressively investigated and promptly treated in order to prevent morbidity and necrosis of the hand. Key Words: Radial artery cannulation, Ischemic hand injury.</p>","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"256-8"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22096798","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
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