Abstract:
BACKGROUND:Abdominal trauma is a major cause of morbi-mortality all over the world which makes it essential an approach focused on rapid diagnosis and treatment. The main goals of this study are to identify global epidemiologic data of abdominal trauma in our tertiary trauma center and to study traumatic lesions, treatment and outcome. MATERIAL AND METHODS:Retrospective analysis of the clinical file of all patients admitted with abdominal trauma, over a period of 5 years, in a tertiary trauma center. RESULTS:the total mean of ages was 42.6 years and the male gender was the most affected (74.2%). At admission, most patients had a Revised Trauma Score > 4. The mainly causes of trauma were blunt from motor-vehicle collisions (39.9% as motor-vehicle occupant and 10.7% from pedestrian collisions) and falls (25.5%). Penetrating trauma, by abdominal stab wounds and gunshot wounds, occurred only in 12.3% of the cases. Hollow visceral injuries were more frequent in that context. In 19.5% of the cases multiple abdominal organ injury occurred. Conservative treatment was performed in 65.3% of the cases. Global mortality was 12%, being null after penetrating lesions. CONCLUSIONS:Abdominal trauma, more frequently, is the result of motor-vehicle crashes and falls, being blunt in the majority of the cases. The most affected organs are solid and the approach is conservative. Hollow visceral lesions continue to be of difficult diagnose. :Introdução: O trauma abdominal é uma importante causa de morbi-mortalidade em todo o mundo, o que leva a que seja fulcral uma bordagem focada no rápido diagnóstico e tratamento. Este estudo tem como objetivos principais, por um lado, identificar dados epidemiológicos lobais do trauma abdominal no Centro Hospitalar de São João e, por outro, estudar as lesões traumáticas, tratamento e outcome.Material e Métodos: Análise retrospetiva do processo clínico de todos os doentes admitidos com traumatismo abdominal, durante um período de cinco anos, num hospital central universitário.Resultados: A média total de idades foi de 42,6 anos e o sexo masculino, foi o mais afetado (74,2%). A maior parte dos doentes tinha um Revised Trauma Score > 4, na admissão. Os mecanismos traumáticos mais frequentes foram fechados por acidente de viação (39,9% em ocupantes de veículo e 10,7% por atropelamento) e queda (25,5%). O trauma perfurante, por lesão de arma branca ou de fogo, ocorreu em apenas 12,3% dos casos. As lesões de víscera oca ocorreram mais neste contexto. Em 19,5% dos casos ocorreu lesão de mais do que uma víscera abdominal. O tratamento conservador foi feito em 65,3% dos casos. A mortalidade total foi de 12%, sendo nula nos casos de lesão penetrante.Conclusão: O trauma abdominal resulta de acidentes de viação e quedas, mais frequentemente, sendo fechado na maioria doscasos. Os órgãos mais vezes afetados são maciços e o tratamento conservador. As lesões de víscera oca continuam a ser de difícil diagnóstico.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Leite S,Taveira-Gomes A,Sousa Hsubject
Has Abstractpub_date
2013-11-01 00:00:00pages
725-30issue
6eissn
0870-399Xissn
1646-0758journal_volume
26pub_type
杂志文章abstract:INTRODUCTION:In Portugal child abuse is a reality, although its true incidence is still unknown. POPULATION AND METHODS:Retrospective study by consulting child abuse processes of children hospitalized in Paediatric Nursery and Neonatal Special Care Unit of Centro Hospitalar de Setúbal, E.P.E between January 1, 2006 an...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2010-05-01 00:00:00
abstract:INTRODUCTION:Diabetes is a major public health problem and it is related to socioeconomic factors. The aim of this study is to describe socioeconomic inequalities in the distribution of diabetes in the population with 25 years or more, resident in Portugal in 2014. MATERIAL AND METHODS:Data from the Health National Su...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.8235
更新日期:2017-08-31 00:00:00
abstract::Hemangiomas are usually diagnosed based on ultrasound findings. The presence of symptoms, rapid growth or atipical imagiological findings should make us consider other diagnoses, including malignant tumors such as angiosarcomas. We describe the case of a previously healthy 46-year-old female without a history of expos...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.8593
更新日期:2017-10-31 00:00:00
abstract::Referring to examples from the poetry of Fernando Pessoa and Mário de Sá Carneiro, we draw attention to the narcissistic relationship between mother and baby, to the role of the mirror-image of the mother's face, and to the organization of a false self caused by a deficiency both of that function, and of the narcissis...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract::Nowadays, prostate cancer is very frequent in men. The evolution of the possibilities of early diagnosis and the results obtained with radical therapeutics have brought this pathology to our attention. The physicians involved, either general practitioners or specialists in internal medicine or urology, must pay maximu...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract::Blood samples collected from 1017 individuals incarcerated in the prisons of Caxias, Linhó and Tires, during 1990, were tested for anti-HIV. Rates of seropositivity were interpreted in the view of statistical data issued from the Council of Europe. ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract::Alpha-1 antitrypsin deficiency is an autosomal co-dominant inherited disorder that results in decreased circulating levels of alpha-1 antitrypsin (also known as alpha-1 proteinase inhibitor) and predisposes affected individuals to early onset lung and liver disease. There is currently no cure for alpha-1 antitrypsin d...
journal_title:Acta medica portuguesa
pub_type: 实务指引
doi:10.20344/amp.12950
更新日期:2020-06-01 00:00:00
abstract::In order to assess the weight of Rheumatic Diseases, the Authors retrospectively studied 117 patients admitted to the Internal Medicine Service of the Faro District Hospital over a 3 year period (1989-1991). The selection criterion comprised the final rheumatological diagnosis. The diseases were arranged in nosologica...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to evaluate the efficacy of post-caesarean analgesia comparing three techniques most frequently used. PATIENTS AND METHODS:For three months all pregnant women submitted to elective or urgent caesarean section, under general or regional anaesthesia, were evaluate with a total of 129 ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2001-07-01 00:00:00
abstract:INTRODUCTION:Child and Adolescent Forensic Psychiatry involves a multidisciplinary assessment at the courts' requested to assist them in the process of justice delivery. MATERIAL AND METHODS:Retrospective study which included 233 forensic requests to two child and adolescent psychiatrists from Coimbra's HP-CHUC Child ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.8579
更新日期:2017-10-31 00:00:00
abstract::The aim of the study was to assess, in patients with non insulin dependent diabetes mellitus (NIDDM), either with previous failure to sulphonylureas or insulin treated since the disease started, if the combination of gliclazide to insulin therapy might induce a reduction of daily insulin requirement. 30 caucasian type...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract::Because the metabolic syndrome (MS) poses a growing public health problem, it is crucial to identify related modifiable risk factors. The MS is a multifaceted syndrome, however, physical activity (PA) is thought to be one of the protective factors in MS occurrence. The purpose of this study is to analyse recent litera...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:To evaluate, in an elderly Portuguese population, the diagnostic capacities of the most popular treadmill stress test protocols. DESIGN:Retrospective study of an elderly Portuguese population submitted to a stress test. PATIENTS AND METHODS:A population of 45 patients (35 male), aged 65 or more years, conse...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract::The aim of this study was to evaluate the accuracy of ultrasound biometric and hemodynamic fetal parameters for the prenatal diagnosis of intrauterine retardation in a sample of 438 pregnant women who had their first visit before the 16th week of gestation at the outpatient clinic of the Department of Obstetrics and G...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1996-02-01 00:00:00
abstract::The circumstances preceding the future revision of the medical curriculum are analysed, main internal and external stimuli are described, and sources of resistance to changes in medical training require new educational philosophy, privileging oriented training during undergraduation, as a preliminary phase of medical ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract::Gastrointestinal Bleeding (GIB) is a complication in patients with Chronic Renal Failure (CRF) on regular hemodialysis (HD). To analyse the importance of GIB we studied, retrospectively, the causes of hospitalization in 301 patients, all on HD in the same Unit in January 1990. The average age was 57.4 +/- 14.2 years (...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-02-01 00:00:00
abstract::From January 1980 until October 1991 we operated 112 patients with Gastric cancer in which Surgery was considered palliative by intra-operative criteria or by pathological analysis of the resected specimen. Locally irresectable tumour was found in 24.1% of the cases, peritoneal metastases (mets.) in 21.4%, liver mets....
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract:UNLABELLED:Tobacco smoking is the cause of more than half million deaths/year in the European Union (EU). Monitoring smoking prevalence is an important tool to evaluate the epidemic and its evolution and to assess the effectiveness of preventive measures. The comparison between countries may help us identify good contr...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2009-07-01 00:00:00
abstract::In spite of all the efforts that has been made in prevention and the success of antiretroviral therapy (ART), AIDS remains a serious public health problem. So, there is a need for development of new antiretrovirals (ARVs) and new therapeutic strategies. New ARVs are currently on advanced stages of clinical evaluati...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2012-05-01 00:00:00
abstract::Osteoporosis in men, despite being a less important public health problem than osteoporosis in women, should not be neglected as it has many deleterious effects as well as social and economic costs. Finding the cause of osteoporosis is more complex in men than in women, and prevention should be based on an early evalu...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1995-05-01 00:00:00
abstract::Chorioangioma is the most frequent nontrophoblastic tumour of the placenta, with a reported incidence ranging from 0.01% to 1.3%. The authors describe three cases of placental chorioangiomas, two of these diagnosed prenatally by ultrasound, and the clinical implications for both mother and fetus. Premature delivery an...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract::Nowadays, the digestive system, must be considered as an actual endocrinous gland. The authors, after pointing out the pharmacological and immunomodulating actions of endogenous somatostatine, briefly describe a new synthetic octapeptid, somatostatine-analogue, with similar pharmacological effects (octreotide). Finall...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1993-01-01 00:00:00
abstract:INTRODUCTION:Approximately 20% - 30% of histological lymph node-negative patients with colorectal cancer relapse at five years after surgical treatment. This recurrence is likely due to occult nodal disease undetected by standard histopathological practice which has implications in terms of the clinical management of p...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,多中心研究
doi:10.20344/amp.9696
更新日期:2018-11-30 00:00:00
abstract:INTRODUCTION:Respiratory tract infections represent the most frequent conditions in pediatric clinical practice that motivate antibiotic prescribing. The objective was to identify the frequency and pattern of antibacterial prescribing in respiratory diseases. MATERIAL AND METHODS:Over a period of two years (divided by...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.11111
更新日期:2019-02-28 00:00:00
abstract::In an attempt to discern the paradigms underlying our medical practice (more specifically paediatrics) over the last 30 years, it was found that these are rather similar to the ones prevailing at the beginning of this period--all wrong-doings were attributed to outside forces which had to be neutralized; the obsession...
journal_title:Acta medica portuguesa
pub_type: 历史文章,杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract:INTRODUCTION:Amyotrophic lateral sclerosis is a rare neurodegenerative disease affecting motor neurons. Patients present with progressive physical impairment, respiratory failure being the main cause of death. A significant portion of patients presents neurobehavioral problems as well. As severe impairment occurs, pati...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:10.20344/amp.6590
更新日期:2016-01-01 00:00:00
abstract:INTRODUCTION:The recent occurrence of a number of outbreaks of dengue in Portuguese speaking countries with no previous disease, aroused curiosity about the competing factors for the phenomenon and a need for better knowledge of the pathology. We review the dengue-related situation in Portuguese speaking countries, lin...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2014-07-01 00:00:00
abstract:INTRODUCTION:In this study, we reviewed a clinical series composed by all malignant lung lesions submitted to computed tomography-guided percutaneous thermal radiofrequency ablation, in our hospital, a rather recent technique that has been gaining scientific recognition. MATERIAL AND METHODS:For data purposes, all rad...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.5620
更新日期:2015-01-01 00:00:00
abstract::Pharmacological aspects of presently used insulins are reviewed. A discussion of different forms of insulin therapy in insulin dependent and non insulin dependent diabetes mellitus is presented. ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1989-09-01 00:00:00
abstract::Before the age of 8 in females and 9 in males, the presence of pubic hair can be the first sign of a gonadal or adrenal disease. In order to identify the late onset type of congenital adrenal hyperplasia in premature pubescence, we did the adrenal short stimulation test with Synacthen, on 30 children. Five girls and o...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00