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THE TREATMENT OF NEOVASCULAR GLAUCOMA CAUSED BY CENTRAL VEIN OCCLUSION WITH CYCLOCRYOTHERAPY-A CASE REPORT 循环冷冻治疗中央静脉闭塞致新生血管性青光眼1例
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55302/jms2362109r
Muhamedin Rushiti, Irina Bogdanova
Glaucoma is the world's number one cause of irreversible blindness. Worldwide, there are over 65 million people diagnosed with various types of glaucoma. According to the latest definitions, it is a neuropathic progressive disease of the optic nerve. The main divisions are primary open and closed angle glaucoma and secondary glaucoma which is caused by various systemic or local diseases. Among the most common types of secondary glaucoma is neovascular glaucoma, which can be caused by diabetic retinopathy, arterial hypertension, various vasculopathies, inflammatory processes of the eye, trauma and other factors. Neovascular glaucoma is a serious and aggressive form of glaucoma that has rapid progression and manifestations. The main symptoms are high eye pressure, pain, redness and the appearance of small vessels in the iris.There are various treatments for this disease, but mainly they are aimed at relieving the symptoms or reducing the progression of the disease. The most important therapeutic options, apart from anti-glaucoma drugs, are the application of anti-Vegf therapy and cyclodestructive treatments, which enable the reduction of intraocular pressure and alleviation of symptoms, thus enabling patients to have a better quality of life.The aim of our study was to prove the impact of cyclocryotherapy in reducing intraocular pressure in a 43-year-old female patient. age with neovascular glaucoma of the left eye. The pressure before the intervention was 41.4 mmHg, while after the intervention it decreased to 26.6 mmHg, also the symptoms such as pain and redness subsided. Key words; Neovascular glaucoma, retinal vein occlusion, cyclo-cryotherapy.
青光眼是世界上导致不可逆失明的头号原因。在世界范围内,有超过6500万人被诊断患有各种类型的青光眼。根据最新的定义,它是一种视神经的神经性进行性疾病。主要分为原发性开闭角型青光眼和继发性青光眼,后者是由各种全身或局部疾病引起的。继发性青光眼中最常见的类型是新生血管性青光眼,它可由糖尿病视网膜病变、动脉高血压、各种血管病变、眼睛炎症过程、外伤等因素引起。新生血管性青光眼是一种严重的侵袭性青光眼,具有快速的进展和表现。主要症状是眼压高、疼痛、发红和虹膜出现小血管。这种疾病有多种治疗方法,但主要是为了缓解症状或减缓疾病的进展。除抗青光眼药物外,最重要的治疗选择是应用抗vegf疗法和破坏睫状体的治疗,这可以降低眼压,减轻症状,从而使患者有更好的生活质量。我们研究的目的是证明循环冷冻治疗对降低43岁女性患者眼压的影响。年龄伴左眼新生血管性青光眼。干预前血压为41.4 mmHg,干预后血压降至26.6 mmHg,疼痛、红肿等症状也有所缓解。关键字;新生血管性青光眼,视网膜静脉闭塞,循环冷冻治疗。
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引用次数: 0
CENTRAL NERVOUS SYSTEM TUBERCULOSIS- CASE REPORT CASE REPORT 中枢神经系统结核病例报告
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55302/jms2362104cch
Tatjana Cepreganova Cangovska, Ilija Zdravkov, Angela Aleksovska, Daniela Ristic-Stomnaroska, Elena Joveva
Mycobacterium tuberculosis is the leading cause of morbidity and mortality worldwide. Tuberculosis is the second most common cause of death due to an infectious agent worldwide after COVID-19 infection. Central nervous system tuberculosis (CNS-TB), accounts for approximately 1% of all cases of tuberculosis, and the most common clinical presentation is tuberculous meningitis (TBM). Tuberculosis of the central nervous system is a devastating disease that, even under appropriate antituberculin therapy, leads to high mortality rate. In this paper we present a case report of a patient in whom the disease begins slowly, progressively and chronically, with the initial clinical manifestation of dementia syndrome. Usually, TBM presents with a subacute progressive febrile illness. In 2 to 3 weeks defines meningitis phase with headache, meningismus, vomiting, mild confusion. Rare is the atypical presentation of CNS TB, as in our case. During the hospitalization, brain magnetic resonance was performed with suspicious finding for neuroinfection, Due to the suspected finding of magnetic resonance imaging, a lumbar puncture was performed and the cerebrospinal fluid was sent for analysis for specific causes, including Mycobacterium tuberculosis. Correct diagnosis and therapy in these patients are a challenge for neurologists. Key words: central nervous system tuberculosis, mycobacterium tuberculosis, neuroinfection.  
结核分枝杆菌是全世界发病率和死亡率的主要原因。结核病是仅次于COVID-19感染的全球第二大传染病死亡原因。中枢神经系统结核(CNS-TB)约占所有结核病病例的1%,最常见的临床表现是结核性脑膜炎(TBM)。中枢神经系统结核病是一种毁灭性疾病,即使在适当的抗结核药物治疗下,也会导致高死亡率。在这篇论文中,我们提出了一个病例报告的病人,在他们的疾病开始缓慢,进行性和慢性,与痴呆综合征的最初临床表现。TBM通常表现为亚急性进行性发热性疾病。2至3周为脑膜炎期,伴有头痛、脑膜裂、呕吐、轻度意识不清。罕见的是中枢神经系统结核的非典型表现,如本病例。住院期间行脑磁共振检查,发现疑似神经感染,由于磁共振成像发现可疑,行腰椎穿刺,并送脑脊液分析具体原因,包括结核分枝杆菌。对这些患者的正确诊断和治疗对神经科医生来说是一个挑战。关键词:中枢神经系统结核,结核分枝杆菌,神经感染。今天早上
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引用次数: 0
MOLECULAR PROFILING OF BCR-ABL NEGATIVE MYELOPROLIFERATIVE NEOPLASMS, GOING BEYOND DRIVER MUTATIONS, SINGLE CENTER EXPERIENCE bcr-abl阴性骨髓增生性肿瘤的分子分析,超越驱动突变,单中心经验
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55302/jms236108pl
Marija Popova Labachevska, Irina Panova Stavridis, S. Trajkova, N. Ridova, Marija Staninova, Simona Stojanovska Jakimovska, A. Pivkova, Z. Stojanoski, Velimir Stojkoski
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引用次数: 0
THE EFFECT OF INITIAL ARCHWIRES SELECTION ON ORTHODONTIC TREATMENT EFFICIENCY AND OUTCOME 初始弓丝选择对正畸治疗效果的影响
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55302/jms2361163chk
Stefana Chakar Kocevski, L. Kanurkova
: Initial orthodontic archwires perform the desired tooth movements in the phase of alignment and leveling during the fixed orthodontic treatment by applying force to the teeth. The force should be light and continuous which will result in maximum tooth movement, with minimal root resorption and pain. This literature review aims to explore the current knowledge about initial orthodontic archwires. A literature search was conducted on the following electronic databases: PubMed, Cochrane Library, and Google Scholar, as well as grey literature sources, were reviewed. The search resulted in the selection of relevant peer-reviewed articles, clinical trials as well as academic sources such as textbooks, that provide a comprehensive overview of the topic. The review highlights the importance of selecting the appropriate archwire material, wire size, and shape for optimal and predictable orthodontic treatment outcomes. It also emphasizes the impact of these variables on force generation in order treatment optimization. Lastly, discuss the advantages and disadvantages of archwire customization, a current global trend that should provide better treatment outcomes in a shorter period of time and improved patient comfort. Overall, careful selection of initial archwire is important in achieving successful treatment outcomes customized per patient needs and treatment goals.
:在固定正畸治疗期间,初始正畸弓线通过对牙齿施加力来完成牙齿在对齐和调平阶段所需的运动。力应该是轻的和连续的,这将导致最大的牙齿运动,最小的牙根吸收和疼痛。本文献综述旨在探讨目前关于初始正畸弓线的知识。对PubMed、Cochrane Library、谷歌Scholar等电子数据库进行文献检索,并对灰色文献来源进行综述。搜索结果选择了相关的同行评审文章,临床试验以及教科书等学术来源,提供了该主题的全面概述。这篇综述强调了选择合适的弓丝材料、弓丝尺寸和形状对于获得最佳和可预测的正畸治疗结果的重要性。并强调了这些变量对顺序处理优化中力生成的影响。最后,讨论弧线定制的优点和缺点,这是当前的全球趋势,应该在更短的时间内提供更好的治疗结果,并提高患者的舒适度。总的来说,仔细选择初始弓丝对于实现根据患者需求和治疗目标定制的成功治疗结果非常重要。
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引用次数: 0
HEPATIC PORTAL VENOUS GAS 肝门静脉气体
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55302/jms2361127s
Nacko Stavreski, Shener Klinche, Elizabeta Stojovska Jovanovska, Smiljana Bundovska Kocev
A 75-year-old male with recurring adhesive ileus presented with abdominal pain. On clinical examination diminished bowel sounds were noted and the following abdominal x-ray confirmed our suspicion of intestinal obstruction. Following an exploratory laparotomy with extensive adhesiolysis and resection of necrotic bowel, septic shock rapidly developed and the patient was transferred to our ICU. A CT-scan was performed which revealed an extensive hepatic portal venous gas (HPVG) (Figure 1), confirmed by bedside abdominal ultrasound (Figure 2). The differentiation of HPVG from areobilia is made radiologically or sonographically. In the case of areobilia, gas is distributed centripetally due to the flow of bile towards the main biliary duct. The portal-venous flow on the other hand is centrifugal, thus gas flows peripherally. Therefore, when gas is spotted within 2cm of the liver capsule, the diagnosis of HPVG is more probable. Hepatic Portal Venous Gas
一位75岁男性复发性粘连性肠梗阻表现为腹痛。临床检查发现肠音减弱,腹部x线片证实我们怀疑是肠梗阻。经剖腹探查,广泛粘连松解和切除坏死肠后,脓毒性休克迅速发展,患者被转移到我们的ICU。ct扫描显示广泛的肝门静脉气体(HPVG)(图1),床边腹部超声(图2)证实了这一点。HPVG与胆道的鉴别通过放射学或超声检查进行。在胆道内,由于胆汁流向主胆管,气体向心分布。另一方面,门静脉流动是离心的,因此气体向周围流动。因此,当肝包膜2cm内发现气体时,诊断HPVG的可能性更大。肝门静脉气体
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引用次数: 0
COVID 19 AND YOUNG PEOPLE: UNDERSTANDING THE IMPACT 2019冠状病毒病与年轻人:了解影响
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55302/jms2362098z
Tatjana Zorcec, Tatjana Cepreganova, Danijela Zorcec
COVID-19 has impacted individuals of all age groups, including young people.Although young individuals generally experience milder symptoms and better outcomes, they are still susceptible to contracting and transmitting the virus. While they may have lower infection rates, it is crucial for young people to adhere to preventive measures as they can still spread the virus, potentially affecting vulnerable populations. The pandemic and related measures have also had an impact on the mental health of young people, with increased stress, isolation, and changes in social interactions leading to feelings of anxiety, depression, and loneliness. The closure of schools and the shift to remote learning have presented challenges in terms of education and social development. It is essential for young people to stay informed, follow guidelines, and prioritize their physical and mental well-being during these challenging times. Keywords: pandemic, COVID-19 experience, young people.
COVID-19影响到所有年龄组的人,包括年轻人。虽然年轻人通常症状较轻,结果较好,但他们仍然容易感染和传播病毒。虽然他们的感染率可能较低,但年轻人坚持采取预防措施至关重要,因为他们仍然可以传播病毒,可能影响弱势群体。大流行和相关措施也对年轻人的心理健康产生了影响,压力增加、孤立和社会交往的变化导致焦虑、抑郁和孤独的感觉。学校的关闭和向远程学习的转变给教育和社会发展带来了挑战。在这个充满挑战的时期,年轻人必须了解情况,遵循指导方针,优先考虑他们的身心健康。关键词:大流行,COVID-19经验,年轻人。
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引用次数: 0
COVID-19 IN CHILDREN WITH DOWN SYNDROME - CASE SERIES 唐氏综合征儿童的COVID-19病例系列
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55302/jms2362093i
Julija Ivanovska, Hristijan Nestorov, Gorica Popova, Irena Chakalarovska, Sandra Petlichkovska, Katerina Boskovska
Down syndrome (DS) is the most common genetic disease and presents with cognitive impairment, cardiac and gastrointestinal abnormalities, increased risk of hematological malignancy and several autoimmune conditions in addition to other miscellaneous clinical conditions. Children with DS are at increased risk for more severe presentations of COVID-19 because of that efforts should be made to ensure the comprehensive and early detection of COVID-19 in this population. The aim of these case reports is to show if the comorbidities that these children have, including cardiovascular anomalies, obesity, and/or obstructive sleep apnoea [7,8], were risk factors for more severe form of COVID-19. Case number 1:In September 2021 , a 14 year old girl with Down Sy was admitted to our hospital due to fever, cough, myalgia and shortness of breath . She tested positive for SARS-CoV-2. The patient had foramen ovale apertum after birth with spontaneous closure, and recurrent respiratory infections. At admission she was afebrile, pale, with frequent productive cough, dyspnеic with low Oxygen saturation, auscultatory with bilateral pneumonic finding. She had chest X-ray with bilateral pericardial areas of consolidation (multifocal opacities) in peripheral and in the lower lobes, and elevated IL6. She was treated for 20 days with antibiotics, broncholidators, Remdesivir, LMWH, and oxygen therapy. There was slow withdrawal of the the auscultatory lung finding. Case number 2: In March 2022 , a 5 year old boy with Down Sy was admitted to our hospital due to fever, rhinorrhea, vomiting , dehydratation , cough, tested positive for SARS-CoV-2 . At admission he was subfebrile, pale with moderate dehydration with dry buccal mucous membranes, tachycardia, sunken eyes ,hypotonic auscultatory on the lungs with pneumonic finding. Chest X-ray showed patchy areas of consolidation in right pericardial area. He was treated with intravenous (IV) fluid, antibiotic and inhaled bronchodilator. There was withdrawal of the auscultatory lung finding during the 10 days of hospital stay. Case number 3: In March 2022, a 6 year old boy with Down Sy was admitted to our hospital due to fever, laryngitis with hoarseness, dry cough, dehydratation, He had Type 1 insulin-dependent, diabetes mellitus (Type 1 DM) diagnosed at age of 5. He was febrile, pale , dehydrated with hoarseness, laryngeal cough auscultatory vesicular breathing with bubbly crackles. Blood gases (ABG) was suggestive of compensatory metabolic acidosis , urine with ketonuria and glycosuria. Chest X-ray: patchy areas of consolidation in right lower lung zones. Treatment was started with IV fluid, topic corticosteroids and the regular insulin therapy. There was withdrawal of the symptoms during the 8 days of hospital stay.Conclusion: Children with Down Sy are always a high risk group for more severe and prolonged course of disease, which are partially attributed to defects of the immune system. Key words: children, Covid - 19, Down sy
唐氏综合征(DS)是最常见的遗传性疾病,除了其他杂项临床症状外,还表现为认知障碍、心脏和胃肠道异常、血液恶性肿瘤风险增加和几种自身免疫性疾病。患有退行性痴呆的儿童出现更严重COVID-19症状的风险更高,因此应努力确保在这一人群中全面和早期发现COVID-19。这些病例报告的目的是显示这些儿童的合并症,包括心血管异常、肥胖和/或阻塞性睡眠呼吸暂停[7,8],是否是更严重形式的COVID-19的危险因素。病例1:2021年9月,一名患有唐氏综合症的14岁女孩因发烧、咳嗽、肌痛和呼吸短促而入住我院。她的新冠病毒检测呈阳性。患者出生后卵圆孔开孔自然闭合,反复呼吸道感染。入院时,患者发热,面色苍白,频繁咳痰,呼吸困难,低血氧饱和度,听诊伴双侧肺炎。胸片示双侧心包周围及下叶实变(多灶性混浊),il - 6升高。患者接受抗生素、支气管胆碱剂、雷姆德西韦、低分子肝素和氧气治疗20天。肺听诊检查缓慢消退。病例2:2022年3月,一名患有唐氏综合症的5岁男孩因发热、流鼻、呕吐、脱水、咳嗽而入院,经检测为SARS-CoV-2阳性。入院时,患者体温过低,面色苍白,中度脱水,口腔粘膜干燥,心动过速,眼睛凹陷,肺部听诊低压伴肺炎征。胸片示右侧心包区片状实变。给予静脉输液、抗生素和吸入支气管扩张剂治疗。住院10天期间有肺听诊检查停止。病例3:2022年3月,一名6岁唐氏综合症男童因发热、喉炎伴声音嘶哑、干咳、脱水入住我院,5岁时诊断为1型胰岛素依赖型糖尿病(1型糖尿病)。他发热,脸色苍白,脱水,声音嘶哑,喉部咳嗽,听诊水疱性呼吸,伴有气泡。血气(ABG)提示代偿性代谢性酸中毒,尿伴酮尿和糖尿。胸片:右肺下区片状实变。治疗开始于静脉输液、局部皮质类固醇和常规胰岛素治疗。住院8天症状均有缓解。结论:儿童唐氏综合征是唐氏综合征的高危人群,病情更为严重,病程延长,其部分原因与免疫系统缺陷有关。关键词:儿童;新冠肺炎;唐氏综合征
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引用次数: 0
EXPERIMENTAL ANIMAL MODEL OF THYROID DYSFYNCTION- HYPERTHYROIDISM 甲状腺功能障碍-甲状腺功能亢进实验动物模型
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55302/jms2362016s
Natasha Stojkovska, Nevena Manevska, Tanja Makazlieva, Ljubica Tasheva, Toni Tripunoski, Sinisa Stojanoski, Anamarija Paunkoska, Irena Kostadinova-Petrova
To establish an experimental animal model of impaired function of the thyroid gland – hyperthyroidism. Thyroid dysfunction (hypothyroidism, hyperthyroidism) is classified in the group of non-communicable diseases with high incidence and prevalence. The disturbed function of the thyroid gland reflects in the metabolic processes of organs, tissues and at cellular level. Twenty Wistar rats (10 males - 350 ± 40 gr and 10 females - 320 ± 40 gr), with an average age of 7 months, were analyzed in the period of 2 months (treated for 1 month with pharmacological doses of L-Thyroxin 15mg / 100g body mass in the drinking water and 1 following month without treatment). The second group of 10 Wistar rats - (5 males and 5 females) did not recieve L-Thyroxin and this was the control group used to obtain normal morphometric and biochemical parameters.Between the mean values ​​of FT4 and FT3 at the beginning, at the intersection and at the end of the study, there were statistically significant differences with increased levels of thyroid hormones at the cross section and no statistically significant difference of thyroid hormone levels between the beginning and the end of the examination in the group of rats treated with L-Thyroxin. No statistically significant differences were detected in the control group of rats. Experimental animal model of impaired function of the thyroid gland – hyperthyroidism using Wistar rats as subjects was successfully established. Key words: hyperthyroidism; thyroid dysfunction; thyroid hormones; Wistar rats.
目的:建立甲状腺功能受损-甲状腺功能亢进的实验动物模型。甲状腺功能障碍(甲状腺功能减退、甲状腺功能亢进)属于高发和流行的非传染性疾病。甲状腺功能紊乱反映在器官、组织和细胞的代谢过程中。选取平均年龄为7月龄的Wistar大鼠20只(雄性10只,体重为350±40克,雌性10只,体重为320±40克),在2个月的时间内进行分析,其中1个月给予15mg / 100g体重的l -甲状腺素药物治疗,1个月不给予治疗。第二组10只Wistar大鼠(5公5母)不注射l -甲状腺素,作为获得正常形态计量学和生化参数的对照组。在研究开始、交叉点和结束时FT4和FT3的平均值,随着横切面甲状腺激素水平的升高,差异有统计学意义;l -甲状腺素组检查开始和结束时甲状腺激素水平差异无统计学意义。与对照组比较,差异无统计学意义。以Wistar大鼠为实验对象,成功建立了甲状腺功能受损-甲状腺功能亢进的实验动物模型。关键词:甲状腺机能亢进;甲状腺机能障碍;甲状腺激素;Wistar鼠。
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引用次数: 0
RELATIONSHIP BETWEEN ENDODONTIC TAPER AND FRACTURE RESISTANCE OF TOOTH 牙髓锥度与牙齿抗折能力的关系
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55302/jms2361149ts
Verica Toneva Stojmenova, L. Popovska, V. Kokalanov
The distribution of chewing pressure in intact tooth is from crown, across the root dentin and ends in periodontal ligament. Endodontic treatment procedure is dental procedure that is necessary when the pulp tissue is irreversible damaged, because of dental caries, dental disease or traumatic injury. When the dental structure is weakened, there is a possibility of crown or root fracture. The root vertical fracture is the third most common reason for tooth extraction in endodontic treated tooth. Endodontic procedure is successful when all the steps of dental procedure is completed. The objective of this study was to estimate whether the low taper of endodontic instrument decreases the possibility of tooth fracture and increase the percentage of tooth fracture resistance. To complete the aim of this study, were analyzed total number of 84 surveys, 42 of them were used for detail analysis. The electronic research was done using the databases as: Pub Med (Medline), Embase, Medscape, Web of Science and Cochrane Library. This study is based on review on published articles written in English language, reporting results related to the use of different intensity of conicity in endodontic treatment and the influence to tooth fracture resistance. Other inclusion criteria as date parameter of the articles was set from 2000 until 2022. The research examined in this review is of in vitro studies and FEA analysis. Some results of this research have shown that fracture resistance in endodontic treated tooth depends of quantity of dental structure. In many reviewed studies the evaluated levels of fracture, have been found to be significantly lover in groups of teeth that are endodontic treated with lover conicity, compared with the other groups of teeth that are endodontic treated with high percentage of conicity. Also, The FEA method has been successfully used in endodontics, where it has proven with the in vitro methods of study
完整牙的咀嚼压力分布从牙冠开始,经过牙根本质,最终到达牙周韧带。牙髓治疗程序是牙髓组织因龋齿、牙病或外伤而不可逆转受损时所必需的牙科程序。当牙齿结构变弱时,有可能出现牙冠或牙根断裂。牙根垂直断裂是牙髓治疗后拔牙的第三大常见原因。当牙科手术的所有步骤都完成时,牙髓治疗就是成功的。本研究的目的是评估根管器械的低锥度是否降低了牙齿断裂的可能性,增加了牙齿抗断率。为了完成本研究的目的,共分析了84份调查问卷,其中42份用于详细分析。电子研究采用Pub Med (Medline)、Embase、Medscape、Web of Science和Cochrane Library等数据库。本研究基于已发表的英文文章,报道了不同锥度强度在根管治疗中的应用及其对牙齿抗折性的影响。其他纳入标准,如文章的日期参数,从2000年到2022年设定。本文综述的研究内容包括体外研究和有限元分析。一些研究结果表明,根管治疗后牙齿的抗折能力取决于牙体结构的数量。在许多回顾的研究中,骨折的评估水平,已经发现,在牙髓治疗中,与其他牙髓治疗中,高锥度的牙齿组相比,在牙髓治疗中有明显的降低。此外,FEA方法已成功地用于牙髓学,在那里它已被证明与体外研究方法
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引用次数: 0
FREQUENCY, IMAGINIG PATTERNS AND PITFALLS IN BLUNT ABDOMINAL TRAUMA, A SINGLE CENTER EXPERIENCE STUDY 钝性腹部创伤的频率、成像模式和缺陷:单中心经验研究
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55302/jms2362074r
Pranvera Ramadani, Maja Jakimovska Dimitrovska, Elizabeta Stojovska Jovanovska, Violeta Vasilevska Nikodinovski, Ace Dodevski
Blunt abdominal trauma is a life-threatening condition and imaging is key in identifying the next step in patient management. The objective of this study is to determine the frequency and pitfalls of blunt abdominal trauma findings in multiphasic Multidetector Computed Tomographic (MDCT) examinations in patients with road traffic injuries and falls in the setting of polytrauma. After institutional review board approval with a waiver of informed consent was obtained, a retrospective study was performed focusing on a three-month period in 2023, from May to July in patients referred to our department with the diagnosis of superficial injuries involving multiple body regions – T00. A review of the Picture Archiving and Communication System (PACS), the electronic medical records and dictated reports identified patients who met the criteria of abdominal blunt trauma. A total number of 321 patients were identified, who met the criteria of superficial injuries involving multiple body regions (average age, 37.5 years). 220 patients were male. 2,8% (9 patients) had imaging findings of blunt abdominal trauma. 55,5 % of patients had spleen traumatic injuries, the remaining percentage was liver, kidney, retroperitoneal hematoma and isolated free abdominal fluid. MDCT and administration of intra venous contrast is crucial in recognizing many of the spectral findings blunt abdominal trauma. A protocol of biphasic “Combi” scan should be implemented in order to minimize radiation exposure and duration of the scan. Multiphasic Computed Tomography (CT) acquisition is key to avoid pitfalls. Key words: Blunt abdominal trauma, Multiphasic MDCT, spleen injury, liver injury, kidney injury, retroperitoneal hematoma, isolated free abdominal fluid.
钝性腹部创伤是一种危及生命的疾病,成像是确定下一步患者管理的关键。本研究的目的是确定在多重创伤的道路交通伤害和跌倒患者的多相多检测器计算机断层扫描(MDCT)检查中钝性腹部创伤的频率和陷阱。在获得机构审查委员会批准并放弃知情同意后,于2023年5月至7月对诊断为涉及多个身体区域的浅表损伤的患者进行为期三个月的回顾性研究- T00。通过对图片存档和通信系统(PACS)、电子病历和口述报告的审查,确定了符合腹部钝性创伤标准的患者。共确定321例患者,符合涉及多身体区域的浅表损伤标准(平均年龄37.5岁)。男性220例。2.8%(9例)影像学表现为钝性腹部创伤。其中脾脏损伤占55.5%,其余为肝、肾、腹膜后血肿和孤立游离腹腔积液。多层螺旋ct和静脉内造影对识别腹部创伤的许多光谱表现至关重要。应采用双相“Combi”扫描方案,以尽量减少辐射暴露和扫描时间。多相计算机断层扫描(CT)采集是避免陷阱的关键。关键词:钝性腹部创伤,多期MDCT,脾损伤,肝损伤,肾损伤,腹膜后血肿,分离游离腹腔积液。
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引用次数: 0
期刊
Journal of Morphological Sciences
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