期刊文献+
共找到6篇文章
< 1 >
每页显示 20 50 100
The clinical characteristics of acute trauma and prognostic evaluation
1
作者 Tong Zhou Fan Li Hanling He 《Discussion of Clinical Cases》 2022年第3期23-27,共5页
Acute trauma is one of the most commonly seen diseases in the Emergency Department,and it attracts more attention due to the increasing disability rate and mortality.Early rapid and accurate assessment of the severity... Acute trauma is one of the most commonly seen diseases in the Emergency Department,and it attracts more attention due to the increasing disability rate and mortality.Early rapid and accurate assessment of the severity of trauma has a positive significance for improving clinical prognosis.The paper aims to review the characteristics of the severity score based on trauma severity,blood biochemical changes and serum biomarkers,and discuss its prognostic significance. 展开更多
关键词 acute trauma Clinical characteristics Prognostic evaluation
下载PDF
Morphometric changes in the cortex following acute mild traumatic brain injury 被引量:1
2
作者 Meng-Jun Li Si-Hong Huang +1 位作者 Chu-Xin Huang Jun Liu 《Neural Regeneration Research》 SCIE CAS CSCD 2022年第3期587-593,共7页
Morphometric changes in cortical thickness(CT),cortical surface area(CSA),and cortical volume(CV) can reflect pathological changes after acute mild traumatic brain injury(m TBI).Most previous studies focused on change... Morphometric changes in cortical thickness(CT),cortical surface area(CSA),and cortical volume(CV) can reflect pathological changes after acute mild traumatic brain injury(m TBI).Most previous studies focused on changes in CT,CSA,and CV in subacute or chronic m TBI,and few studies have examined changes in CT,CSA,and CV in acute m TBI.Furthermore,acute m TBI patients typically show transient cognitive impairment,and few studies have reported on the relationship between cerebral morphological changes and cognitive function in patients with m TBI.This prospective cohort study included 30 patients with acute m TBI(15 males,15 females,mean age 33.7 years) and 27 matched healthy controls(12 males,15 females,mean age 37.7 years) who were recruited from the Second Xiangya Hospital of Central South University between September and December 2019.High-resolution T1-weighted images were acquired within 7 days after the onset of m TBI.The results of analyses using Free Surfer software revealed significantly increased CSA and CV in the right lateral occipital gyrus of acutestage m TBI patients compared with healthy controls,but no significant changes in CT.The acute-stage m TBI patients also showed reduced executive function and processing speed indicated by a lower score in the Digital Symbol Substitution Test,and reduced cognitive ability indicated by a longer time to complete the Trail Making Test-B.Both increased CSA and CV in the right lateral occipital gyrus were negatively correlated with performance in the Trail Making Test part A.These findings suggest that cognitive deficits and cortical alterations in CSA and CV can be detected in the acute stage of m TBI,and that increased CSA and CV in the right lateral occipital gyrus may be a compensatory mechanism for cognitive dysfunction in acute-stage m TBI patients.This study was approved by the Ethics Committee of the Second Xiangya Hospital of Central South University,China(approval No.086) on February 9,2019. 展开更多
关键词 acute mild brain trauma injury Alzheimer's disease cognitive function cortical surface area cortical thickness cortical volume Free Surfer surface-based morphometry
下载PDF
It's all about timing, early treatment with hyperbaric oxygen therapy and corticosteroids is essential in acute acoustic trauma
3
作者 A.B.Bayoumy R.P.Weenink +7 位作者 E.Lvan der Veen F.S.Besseling-Hansen A.D.M.Hoedemaeker F.J.Mde Jong M.Hvan der Laan R.Swenker R.Avan Hulst J.Ade Ru 《Journal of Otology》 CSCD 2021年第4期237-241,共5页
Background: Acute acoustic trauma (AAT) is an acute hearing impairment caused by intense noiseimpact. The current management strategy for AAT with substantial hearing loss in the Dutch militaryis the combination thera... Background: Acute acoustic trauma (AAT) is an acute hearing impairment caused by intense noiseimpact. The current management strategy for AAT with substantial hearing loss in the Dutch militaryis the combination therapy with corticosteroids and hyperbaric oxygen therapy (HBOT). In a previousstudy, early initiation of the combination therapy was associated with better outcomes. Therefore, weperformed a new analysis to assess the difference in hearing outcome between patients in whomcombination therapy was started within two days, versus after more than two days.Methods: A retrospective analysis was performed on military patients diagnosed with AAT with substantial hearing loss who presented between February 2018 and March 2020. Absolute and relativehearing improvement between first and last audiograms were calculated for all affected frequencies(defined as loss of 20 dB on initial audiogram). We also determined the amount of patients whorecovered to the level of Dutch military requirement, and performed speech discrimination tests.Results: In this analysis, 30 male patients (49 ears) with AAT were included. The median age was 24.5years (IQR 23e29). The median time to initiation of therapy with corticosteroids and HBOT were one andtwo days, respectively. HBOT was started within two days in 31 ears, and after more than two days in 18ears. The mean absolute and relative hearing gains were 18.8 dB (SD 14.6) and 46.8% (SD 31.3) on allaffected frequencies. The 100% discrimination/speech perception level improved from 64.0 dB to 51.7 dB(gain 12.3 dB ± 14.1). There was significantly more improvement in absolute and relative hearingimprovement when HBOT was started in 2 days, compared to >2 days.Conclusion: Our analysis shows results in favor of early initiation ( 2 days) of the combination treatmentof HBOT and corticosteroids in patients with AAT. 展开更多
关键词 Hyperbaric oxygen therapy acute acoustic trauma Hearing loss CORTICOSTEROIDS Blast injury Noise-induced hearing loss
下载PDF
The effect of the quality of vital sign recording on clinical decision making in a regional acute care trauma ward 被引量:2
4
作者 Claire M. Keene Victor Y. Kong +1 位作者 Damian L. Clarke Petra Brysiewicz 《Chinese Journal of Traumatology》 CAS CSCD 2017年第5期283-287,共5页
Purpose: Recording vital signs is important in the hospital setting and the quality of this documentation influences clinical decision making. The Modified Early Warning Score (MEWS) uses vital signs to categorise ... Purpose: Recording vital signs is important in the hospital setting and the quality of this documentation influences clinical decision making. The Modified Early Warning Score (MEWS) uses vital signs to categorise the severity of a patient's physiological derangement and illustrates the clinical impact of vital signs in detecting patient deterioration and making management decisions. This descriptive study measured the quality of vital sign recordings in an acute care trauma setting, and used the MEWS to determine the impact the documentation quality had on the detection of physiological derangements and thus, clinical decision making. Methods: Vital signs recorded by the nursing staff of all trauma patients in the acute care trauma wards at a regional hospital in South Africa were collected from January 2013 to February 2013. Investigator- measured values taken within 2 hours of the routine observations and baseline patient information were also recorded. A MEWS for each patient was calculated from the routine and investigator-measured observations. Basic descriptive statistics were performed using EXCEL Results: The details of lgl newly admitted patients were collected. Completion of recordings was 81% for heart rate, 88~; for respiratory rate, 98~; for blood pressure, 92% for temperature and 41~ for GCS. The recorded heart rate was positively correlated with the investigator's measurement (Pearson's correlation coefficient of 0.76); while the respiratory rate did not correlate (Pearson's correlation coefficient of 0.02). In 59~ of patients the recorded respiratory rate (RR) was exactly 20 breaths per minute and 27~ had a recorded RR of exactly 15. Seven percent of patients had aberrant Glasgow Coma Scale readings above the maximum value of 15. The average MEWS was 2 for both the recorded (MEWS(R)) and investigator (MEWS(1)) vitals, with the range of MEWS(R) 0-7 and MEWS(1) 0-9. Analysis showed 59% of the MEWS(R) underestimated the physiological derangement (scores were lower than the MEWS(1)); 80%; of patients had a MEWS(R) requiring 4 hourly checks which was only completed in 2%;; 86% of patients had a MEWS(R) of less than three (i.e. not necessitating escalation of care), but 33% of these showed a MEWS(1) greater than three (i.e. actually necessitating escalation of care). Conclusion: Documentation of vital signs aids management decisions, indicating the physiological derangement of a patient and dictating treatment. This study showed that there was a poor quality of vital sign recording in this acute care trauma setting, which led to underestimation of patients' physi- ological derangement and an inability to detect deteriorating patients. The MEWS could be a powerful tool to empower nurses to become involved in the diagnosis and detection of deteriorating patients, as well as providing a framework to communicate the severity of derangement between health workers. However, it requires a number of strategies to improve the quality of vital sign recording, including continuing education, increasing the numbers of competent staff and administrative changes in vital sign charts. 展开更多
关键词 Vital signs recording quality Modified early warning score Nursing acute trauma care
原文传递
Research progress of acute coagulopathy of trauma-shock 被引量:3
5
作者 Baiqiang Li Haichen Sun 《Chinese Journal of Traumatology》 CAS CSCD 2015年第2期95-97,共3页
Acute coagulopathy of trauma-shock (ACoTS) occurs in 25% of patients with severe trauma in the early phase, and the mortality of those patients is four-fold higher than patients without coagulopathy. The pathophysio... Acute coagulopathy of trauma-shock (ACoTS) occurs in 25% of patients with severe trauma in the early phase, and the mortality of those patients is four-fold higher than patients without coagulopathy. The pathophysiology of this complicated phenomenon has been focused on in recent years. Tissue injury and hypoperfusion, activated protein C and Complements play important roles in the early phase after trauma. While the use of blood products, hypothermia, acidosis and inflammation are the main mechanism in late phase. Supplementing coagulation factors and platelets to improve ACoTS are inefficient. Only positive resuscitation from shock and improving tissue hypoperfusion have expected benefits. 展开更多
关键词 acute coagulopathyoftrauma-shock ACoTS trauma Shock
原文传递
Coronary artery dissection and acute myocardial infarction after blunt chest trauma
6
作者 刘龙斌 郭航远 邢杨波 《South China Journal of Cardiology》 CAS 2012年第3期197-200,205,共5页
Coronary artery dissection and acute myocar-dial infarction(AMI) after blunt chest trauma (BCT) has rarely been reported1'2. This report describes two cases of the left anterior de-scending(LAD) artery dissecti... Coronary artery dissection and acute myocar-dial infarction(AMI) after blunt chest trauma (BCT) has rarely been reported1'2. This report describes two cases of the left anterior de-scending(LAD) artery dissection and AMI after BCT, successfully treated with percutaneous coronary intervention (PCI) and they dis-charged without complications. 展开更多
关键词 FIGURE ECG LAD Coronary artery dissection and acute myocardial infarction after blunt chest trauma BCT AMI PCI
原文传递
上一页 1 下一页 到第
使用帮助 返回顶部