J Trauma
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Comparative Study
Comparison of high-field magnetic resonance imaging with computed tomography in the evaluation of blunt renal trauma.
To compare magnetic resonance (MR) imaging and computed tomography (CT) in radiographic staging of blunt renal trauma. ⋯ Although CT remains the method of choice in radiographic staging of renal injury, MR imaging can complement CT in patients with severe renal injury, pre-existing renal abnormality, equivocal CT findings, or when repeated radiographic follow-up is required. MR imaging could replace CT in patients with iodine allergy and be used for initial staging if CT is not available.
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The changing profiles of spinal cord injuries in South Africa are addressed in this study. ⋯ Gunshots carry a heavier prognosis. Only 32% of our gunshot cases underwent a significant recovery as opposed to 61% of stab cases and 44% of the motor vehicle crash victims.
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To investigate the effects of inhaled nitric oxide (NO) in adult respiratory distress syndrome (ARDS) associated with a therapeutic optimization strategy on oxygen parameters, barotrauma, and evolution in a medical and surgical intensive care unit. ⋯ This study was shorter to demonstrate an improvement in the survival rate. Nevertheless, these preliminary results are encouraging. Because of its safety, effectiveness, and easy use, inhaled NO should be used as a part of a therapeutic optimization protocol before considering more invasive and expensive procedures, such as extracorporeal respiratory support or intravascular oxygenation.
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Case Reports
Lobectomy for traumatic pulmonary pseudocysts with disseminated intravascular coagulation: case report.
A 10-year-old boy was injured in a traffic accident, and computed tomography revealed cavitary pulmonary lesions in the left lower lobe. Although there was no evidence of bacterial infection, thrombocytopenia due to disseminated intravascular coagulation progressed. We performed a left lower lobectomy, and the patient improved rapidly.
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Case Reports
Delayed presentation of splenic artery pseudoaneurysms following blunt abdominal trauma: case reports.
Splenic artery pseudoaneurysms are known to be caused by either pancreatitis or operative trauma. We present two patients who had delayed presentation of splenic artery pseudoaneurysms secondary to blunt abdominal trauma. This is the first report of splenic artery pseudoaneurysms following trauma and demonstrates the importance of follow-up computed tomography scans in patients with splenic injuries who are treated nonoperatively.