Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES
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Cardiac contusion, associated with on blunt chest trauma, was investigated according to changes of CPK, CKMB, ECG and especially cTnI levels. ⋯ We consider that decceleration wounds are the main cause of cardiac contusions. Although thoracic trauma is essential in the pathogenesis of cardiac contusion, rib fracture is not a rule. Cardiac contusion is not related directly with degrees of body and thoracic trauma. However it is more related with the degree of cardiac trauma.
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In this study, we aimed to analyze traffic accident cases applying to the emergency department of the hospital of the Cumhuriyet University according to their age, sex, their position during crash, the place and time of the accident, the time to reach hospital, the type of vehicle and their lesion forms. ⋯ The similar studies in literature were examined. The factors causing the traffic accident and the problems resulting from traffic accident were pointed out. The treatment manner in the traffic accident cases was suggested.
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Randomized Controlled Trial Clinical Trial
[The effect of pentaglobin therapy on prognosis in patients with severe sepsis].
This study was designed to assess the effects of polyclonal immunoglobulin administration on septic shock incidence and prognosis in patients with severe sepsis. Patients with severe sepsis were randomly allocated into two groups. One group (n = 21) received 5 ml/kg/day IgM enriched immunoglobulin preparation (Pentaglobin) for 3 days. ⋯ However, a significant decrease in procalcitonin levels were detected only in patients who received pentaglobin (p = 0.001). Mortality rate was 5/21 (23.8%) in pentaglobin group and 5/18 (27.7%) in the control group. Although pentaglobin therapy could not achieve a statistically significant improvement in septic shock occurrence and mortality, the constant reduction in procalcitonin levels indicated the beneficial effects of immunotherapy on the severity of inflammatory response to infection in severe sepsis.