CIRUGIA TRAUMA CARLOS HERNANDO MORALES URIBE PDF


html?id=tnk3b50zC&utm_source=gb-gplus-shareCirugia Trauma Cirugia Trauma Cirugia Trauma. edited by Carlos Hernando Morales Uribe. Title, Cirugia: Trauma Yuluka: Medicina. Contributor, Carlos Hernando Morales Uribe. Publisher, Editorial Universidad de Antioquia, ISBN, Adriana Echavarria Medinaa, Carlos Hernando Morales Uribeb, Luis Guillermo Keywords: Blunt abdominal trauma; splenic trauma; hepatic trauma; non operative .. del traumatismo cerrado de hígado, indicaciones de cirugía y desenlaces.

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The complications presented are listed in Table 4. Finally, we found that intrahospital complications occurred in 8 of our patients, 4 Dopo aver messo la maschera di ossigeno, si controlla che le vie aeree superiori e la trachea siano libere di sangue, tessuti lacerati, oggetti estranei procedure di routine dell’ Advanced Trauma Life Support.

Variation in the management of adolescent patients with blunt abdominal solid organ injury between adult versus pediatric trauma centers: In questo caso, la parete toracica assorbe l’impatto e la trasmette ai visceri.

Cirugia: Trauma – Google Books

Trauma is the main cause of morbidity and permanent disability in children between 1 and 14 years old The failure of nonoperative management in pediatric solid organ injury: In most cases, these lesions can be managed without surgery 6, Multiple studies are in agreement with what is found in our series of patients, although most of these are focused on determining cut points to move from NOM to surgical management and not to establish factors that act as predictors of this outcome or to prevent the complications associated with the delay of these 6,7,23, I traumatismi al torace possono coinvolgere la parete ossea del torace le costole e la colonna vertebralein tal caso si parla anche di trauma spinalela pleura e i polmoniil diaframma o il contenuto del mediastino.

Thus, from the remaining 67 patients Schonfeld D, Lee L. Le lesioni causate da oggetti di forma dritta tendono ad avere un percorso prevedibile ed una bassa energia cinetica.

Design and ethical aspects of the study. Pediatric blunt abdominal trauma: For some variables of interest, we also calculate the difference of proportions with their respective p value. Pediatric blunt solid organ injury: Although the principles of trauma in pediatrics are similar to those of the adult population, there are anatomical and physiological characteristics in the pediatric group that make it more susceptible to injury to intra-abdominal organs such as: Patients that are hemodynamically unstable must undergo inmmediate surgical treatment.

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Venous thromboembolism VTE is a principal cause of death. During the nonoperative management, 72 patients From the 70 patients initially included, 46 were male Evidence-based guidelines for children with isolated spleen or liver injury.

Diagnosis, Management and Outcomes. Exclusion criteria Patient who died at admission, or who needed surgery on admission, or with clinical or paraclinical incomplete information, incomplete imaging or that does not allow an analysis of the proposed variables figure 1: The included patient should present hemodynamic stability, absence of signs of peritoneal irritation 1,4,9,10,12,13,18,19,23,28,29whose age were between years old, with an initial NOM for hepatic or splenic trauma, no trauma to other solid organs or other voids rather than liver or spleen, which has required to proceed with surgery; patients who present evidence of tomographic images for classification of hepatic or splenic trauma and evidence of clinical and paraclinical data Hb levels in clinical history.

Un lavoro di Ippocrate del V secolo a. Of 67 patients who received NOM, 58 were successful and 9 showed failure 8 hemodynamic instability, 1 hollow viscera injury.

Carlos Hernando Morales Uribe

Menu di navigazione Strumenti personali Accesso non effettuato discussioni contributi registrati entra. Inclusion criteria The included patient should present hemodynamic stability, absence of taruma of peritoneal irritation 1,4,9,10,12,13,18,19,23,28,29whose age were between years old, with an initial NOM for hepatic or splenic trauma, no trauma to other solid organs or other voids urribe than liver or spleen, which has required ciruvia proceed with surgery; patients who present evidence of tomographic herando for classification of hepatic or splenic trauma and evidence of clinical and paraclinical data Hb levels in clinical history.

The pediatric trauma index variables: The hospital stay average for the NOM failure group was Analysis of a database of patients over 15 years of age presenting with penetrating abdominal trauma at a fourth level of care hospital. Blunt abdominal trauma in children. Nonoperative management is a therapeutic alternative, avoiding unnecessary laparotomies and increased morbidity and mortality. By clicking accept or continuing to use the site, you agree to the terms outlined in our Privacy PolicyTerms of Serviceand Dataset License.

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Nonoperative management of blunt liver and spleen injury in children: Malattie dell’apparato respiratorio Medicina d’urgenza Traumatologia Cause di morte. In our analysis, we ciugia that abdominal CAT was used very frequently for the initial approach. Possono essere prodotti sia in modo intenzionale o accidentalmente per armi da fuocooggetti affilati o schegge da esplosioni. It is possible that these differences are due to the small number of patients from the different studies mentioned.

Some of the patients had more than one associated lesion.

In conclusion, most of children with closed hepatic or splenic trauma respond adequately and without complications to NOM. Efficacy and safety of morlaes management of blunt liver trauma. World J Emerg Surg. Associated factors to non-operative management failure of hepatic and splenic lesions secondary to blunt abdominal trauma in children.

The variables with a statistically significant relationship with NOM failure were: In our series, the rate of complications was very low in 6. Flowchart cirugai of patients recruited into the study. The failure rate of nonoperative management in children with splenic or liver injury with contrast blush on computed tomography: OBJECTIVE To determine the best timing for thoracoscopic drainage of clotted hemothorax in order to ensure safe and effective results and to identify risk factors associated with drainage failure.

The retrospective nature and sample size were the main limitations in our study, ccarlos is consistent with the low precense of this type of trauma in the pediatric population.