Navegando por Palavras-chave "wounds and injuries"
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- ItemAcesso aberto (Open Access)Clinical complications in patients with severe cervical spinal trauma: a ten-year prospective study(Academia Brasileira de Neurologia - ABNEURO, 2012-07-01) Santos, Egmond Alves Silva; Santos Filho, Wenner Jorzino; Possatti, Lucas Loss; Bittencourt, Lia Rita Azeredo [UNIFESP]; Fontoura, Emílio Afonso França; Botelho, Ricardo Vieira; Conjunto Hospitalar do Mandaqui; Universidade Federal de São Paulo (UNIFESP); Instituto de Assistência Médica ao Servidor Público Estadual Hospital do Servidor Público EstadualOBJECTIVE: To determine the complications due to severe acrescentar sigla após o nome (CST). METHODS: Between 1997 and 2006, 217 patients (191 men and 26 women) were prospectively evaluated. The mean age was 36.75±1.06 years. RESULTS: Forty-five percent of the patients had medical complications. The most important risk factor was alcoholic beverage use. The most important associated injury was head trauma (HT). Patients with American Spine Injury Association (ASIA) A or B had a 2.3-fold greater relative risk of developing complications. Thirty-three patients (15.2%) died. Patients with neurological deficit had a 16.9-fold higher risk of death. There was no influence of age and time between trauma and surgery on the presence of complications. CONCLUSIONS: Of the patients, 45% had clinical complications and 7.5% had associated injuries; pneumonia was the most important complication; patient age and time between trauma and surgery did not influence the development of medical complications; neurological status was the most important factor in determining morbidity and mortality.
- ItemAcesso aberto (Open Access)Embolia arterial periférica por projétil de arma de fogo em civis: diagnóstico confirmado pelo ultrassom vascular(Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV), 2012-03-01) Morais Filho, Domingos De [UNIFESP]; Schimit, Gustavo Teixeira Fulton; Tenório, Guilon Otávio Santos; Sardinha, Wander Eduardo; Silvestre, José Manuel Silva; Ramires, Eduardo Durante; Universidade Federal de São Paulo (UNIFESP); UEL Setor de Cirurgia Vascular e Angiologia Departamento de Clínica CirúrgicaWe describe a case of acute arterial occlusion caused by a firearm bullet. Since the case is rare (23 cases in 20 years), and due to the importance of early diagnosis, a bibliographic review was performed. Aspects of the clinical picture, differential diagnosis and treatment were approached. In this case, diagnosis by a vascular ultrasound was published for the first time.