Abstract:
PURPOSE:There is still much controversy regarding the optimal treatment for pulmonary contusion. Therefore, we examined the variables affecting patient outcomes over a 10-year period. METHODS:We retrospectively reviewed 107 consecutive patients with a mean age of 28 years, who were treated for pulmonary contusion during a 10-year period. Pulmonary perfusion scans were obtained for 11 patients. We used a pulmonary contusion score (PCS) of one-third of a lung = 3 and the entire lung = 9. RESULTS:Overall mortality was 15%, which increased to 24.4% in patients with a PCS of 7-9. The time taken for contusions to resolve was longer based on scan results than chest X-rays (42.6 vs 15.5 days, respectively). Concomitant thoracic injures were present in 64.5% of patients, and 29% had a flail chest. The factors predictive of mortality were age >/=60 years, an injury severity score (ISS) >/=25, transfusion of >/=4 units of blood, a PaO(2)/FIO(2) ratio of <300, concomitant flail chest, and a PCS of 7-9. The predictors for mechanical ventilation were age >/=60 years, concomitant flail chest, a PCS of 7-9, and an ISS >/=25. Mortality and the need for mechanical ventilation were higher in patients with nonisolated contusions than in those with isolated contusions. CONCLUSIONS:Optimizing patient outcome requires prompt diagnosis, appropriate maintenance of fluid volume, and selective mechanical ventilation.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Balci AE,Balci TA,Eren S,Ulkü R,Cakir O,Eren Ndoi
10.1007/s00595-004-2925-zsubject
Has Abstractpub_date
2005-01-01 00:00:00pages
205-10issue
3eissn
0941-1291issn
1436-2813journal_volume
35pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract::Recent advances in imaging techniques such as dynamic intravenous contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI) have enabled us to detect pancreatic cysts, some of which are potentially malignant. As the histopathological diagnosis cannot be confirmed preoperatively, enlarged pancreat...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3568-7
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:Abdominal aortic aneurysm (AAA) surgery subjects the lower extremities to ischemia and reperfusion. Although it is not extensive or prolonged, ischemia of the lower extremities during aortic cross-clamping is gradually and steadily induced. We studied the effects of prostaglandin E1 (PGE1) on ischemia-reperfu...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-005-3116-2
更新日期:2006-01-01 00:00:00
abstract:PURPOSE:The impact of anti-tumor necrosis factor alpha (TNFα) treatment for Crohn's disease (CD) on surgical outcomes is still controversial. The aim of this study was to assess the feasibility of laparoscopic surgery for CD patients treated preoperatively with anti-TNFα agents. METHODS:We investigated, retrospectivel...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-016-1375-8
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Acute appendicitis may become life threatening if it is complicated by retroperitoneal abscess. To the best of our knowledge, only case reports have been documented; thus, we analyzed the published experiences and reviewed this issue. MATERIALS AND METHODS:In addition to two patients treated at our institut...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3481-5
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:We evaluated the role of intraoperative frozen section (FS) in the surgical management of solitary thyroid nodules, as its true value is a subject of some controversy. METHODS:We reviewed the records of 206 consecutive patients operated on for solitary thyroid nodules. All patients had undergone both preoperat...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200167
更新日期:2002-01-01 00:00:00
abstract::We report three cases of successful surgical removal of a denture with sharp clasps impacted in the cervical esophagus. Patient 1 was a 57-year-old woman institutionalized for over 30 years for schizophrenia, patient 2 was a 62-year-old man hospitalized for brain paralysis, and patient 3 was a 64-year-old man sufferin...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-010-4467-x
更新日期:2011-09-01 00:00:00
abstract:PURPOSE:To assess a newly devised procedure for cardiac volume reduction without resecting any cardiac muscle and evaluate its effectiveness in an experimental settings. METHODS:Ten beagle dogs underwent a rapid pacing leading to heart failure for 3 weeks and then underwent left ventricular reduction by a procedure ca...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950300059
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:We developed a technique of jejunal pouch interposition with a fundic-like jejunal plication (JPI-FP) for reconstruction after total gastrectomy (TG) for gastric cancer. The aim of this study was to investigate the advantages of JPI-FP over Roux-en-Y reconstruction (R-Y). METHODS:Twenty-two patients who had un...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-005-3008-5
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:Tissue factor (TF), an initiator of the extrinsic coagulation cascade, is also expressed in a wide range of cancer cells and plays an important role in cancer progression and metastasis, as well as in processes independent of the blood coagulation pathway. For example, by acting as an adhesion molecule enabling...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2643-y
更新日期:2004-01-01 00:00:00
abstract::This study was undertaken to determine whether or not the prostanoid metabolism contributes to peritonitis-induced early liver oxidant stress. Lipid peroxidation products, malondialdehyde (MDA) and conjugated dienes (CD), were used to monitor oxidant stress. The rats were given a 5-cc intraperitoneal (i.p.) injection ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482968
更新日期:1999-01-01 00:00:00
abstract::Although a popliteal venous aneurysm is a rare entity, it is an important cause of pulmonary embolism (PE), which is occasionally life-threatening. We herein report a case of a popliteal venous aneurysm with deep venous thrombosis (DVT) in the contralateral calf. A 65-year-old male, who presented with sudden onset pal...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0676-4
更新日期:2014-10-01 00:00:00
abstract::Intraductal papillary mucinous neoplasms (IPMNs) of the pancreas present more commonly in the elderly. This report describes a case of IPMN in a 36-year-old man who presented with obstructive jaundice and weight loss. The initial investigation by computed tomography scan revealed a cystic lesion in the head of pancrea...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-009-4217-0
更新日期:2011-02-01 00:00:00
abstract::We report the case of a 50-year-old man with a double aortic arch who underwent esophagectomy for cancer in the middle thoracic esophagus at clinical Stage IIA (T3N0M0), based on the TNM classification (UICC 2002). The patient underwent esophagectomy with three-field lymphadenectomy following neoadjuvant chemotherapy....
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-010-4408-8
更新日期:2011-08-01 00:00:00
abstract:PURPOSE:The aim of this study was to investigate the effects of fibrin glue on the prevention of postoperative peritoneal adhesion to prosthetic materials used in ventral hernia repair. METHODS:Ten pigs were included in this study. The abdomens of the animals were opened by means of a median subumbilical laparotomy to...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3590-9
更新日期:2008-01-01 00:00:00
abstract::The occurrence of disseminated tumors of the appendix is a rare event. Usually appendix tumors are very small, located on the inside of the appendix, and can be pathologically diagnosed. Adenocarcinoid is an uncommon variant of carcinoid tumors that usually arises in the appendix. This report describes a case of a pri...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/PL00010053
更新日期:2000-01-01 00:00:00
abstract::There are few published reports on endovascular stent grafting for thoracic aneurysms in Jehovah's Witnesses. Between 2001 and 2003, we performed endovascular stent grafting for a thoracic aneurysm in three patients of the Jehovah's Witness faith. Two patients had a thoracic aortic aneurysm and one had a chronic type-...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2921-3
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:To clarify the correlation between portal hypertensive gastropathy (PHG) and clinical features after surgery for biliary atresia (BA). METHODS:Routine upper gastrointestinal endoscopies were done over 3 years in 27 children who underwent surgery for BA. We reviewed the recorded endoscopic findings, and retrosp...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2954-7
更新日期:2005-01-01 00:00:00
abstract::We report herein the case of a patient who developed a malignant recurrence of pheochromocytoma 13 years after undergoing complete resection of a histologically benign, unilateral, sporadic tumor. A discussion on the importance of lifelong follow-up for patients undergoing surgery for pheochromocytoma follows this cas...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311651
更新日期:1996-01-01 00:00:00
abstract::Total esophagogastric dissociation (TED) is used to treat gastroesophageal reflux (GER) after failed fundoplication in neurologically impaired patients. It is now performed for some otherwise healthy patients with severe GER. In this procedure, the gastrointestinal tract is reconstructed in a non-physiological way wit...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-018-1636-9
更新日期:2018-11-01 00:00:00
abstract::Pouch failure has been reported to occur after ileal pouch-anal anastomosis for Crohn's disease. We report two cases of patients with Crohn's disease, who underwent redo ileal pouch-anal anastomosis (redo-IPAA) combined with anti-TNF-α maintenance therapy, with good functional results. The first patient, a man with pr...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-0831-6
更新日期:2014-10-01 00:00:00
abstract::We report herein the case of a 52-year-old man for whom a split pectoralis major myocutaneous flap was applied at the time of extended radical surgery for esophageal carcinoma with tracheal involvement, to avoid the postoperative complications of anterior tracheostomy such as tracheal necrosis and rupture of the major...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF01884577
更新日期:1994-01-01 00:00:00
abstract::In a previous study, we used a murine monoclonal antibody, A7, against human colon carcinoma as a drug-carrier to treat colorectal cancer. In the present study, we found that MAb A7 also reacted immunohistochemically with 73% of human pancreatic carcinoma cell lines, with the A7 antigen mainly being detected on the ce...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00308745
更新日期:1992-01-01 00:00:00
abstract::Chyluria is leakage of lymphatic fluid into the urine, following trauma to or obstruction of the lymphatic system. We herein report a rare case of chyluria after esophagectomy for esophageal cancer. A 69-year-old male complaining of epigastric pain and reflux symptoms was diagnosed with advanced esophageal cancer and ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-012-0443-y
更新日期:2014-04-01 00:00:00
abstract:PURPOSE:Tumors expressing high levels of CYP3A4 are likely to have a poor treatment response to docetaxel (DOC), which is metabolized by CYP3A4. Tissue samples of recurrent breast cancer are sometimes hard to obtain just before treatment because the tumor is often difficult to access. Using immunohistochemistry, we mea...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-009-4328-7
更新日期:2011-05-01 00:00:00
abstract::The deleted-in-colorectal-cancer (DCC) gene, located on chromosome 18q 21.3, is considered to be a tumor suppressor gene related to cellular adhesion receptors. A loss of heterozygosity (LOH) on chromosome 18q is frequently observed in adenomatous polyposis coli, as well as in sporadic colon carcinoma and its liver me...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311682
更新日期:1995-01-01 00:00:00
abstract::We report herein a rare case of primary lung cancer that occurred concomitantly with the calcified ova of a parasite. A 58-year-old man was referred to our department after a pulmonary abnormal shadow had been seen on a chest X-ray done at mass screening. A transbronchial lung biopsy (TBLB) revealed the calcified ova ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170137
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:This study was undertaken to elucidate the clinicopathological characteristics and surgical outcome of the periductal infiltrating (PI) type of intrahepatic cholangiocarcinoma (ICC), which is a distinct macroscopic type of ICC arising from the second-order of the intrahepatic bile ducts without apparent invasio...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-012-0145-5
更新日期:2012-12-01 00:00:00
abstract::The aim of this study was to determine the long-term effects of administering preoperative radiochemotherapy to patients with carcinoma of the lower rectum. The outcomes of 29 patients who underwent curative surgery for carcinoma of the lower rectum after receiving radiochemotherapy in the form of 40.5 Gy accelerated ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050634
更新日期:1999-01-01 00:00:00
abstract:PURPOSE:We investigated the predictive indicator for a good prognosis of surgical resection for liver metastasis of colorectal cancer. METHOD:Between 1990 and 2009 at our institute, 117 patients underwent 132 hepatic resections for liver metastasis of colorectal cancer. The clinical, pathological, and outcome paramete...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0699-x
更新日期:2014-07-01 00:00:00
abstract:PURPOSE:This study was conducted to determine whether establishing the proximal resection line using India ink tattooing can ensure safe resection margins during totally laparoscopic distal gastrectomy. METHODS:This retrospective study included 81 patients who underwent totally laparoscopic distal gastrectomy for gast...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-020-02057-9
更新日期:2021-01-01 00:00:00