Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo hóa học: "Splenic injuries at Bugando Medical Centre in northwestern Tanzania: a tertiary hospital experience"

Quang Ðạt 67 9 pdf

Không đóng trình duyệt đến khi xuất hiện nút TẢI XUỐNG Tải xuống

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: Splenic injuries at Bugando Medical Centre in northwestern Tanzania: a tertiary hospital experience | Chalya et al. BMC Research Notes 2012 5 59 http www.biomedcentral.eom 1756-0500 5 59 BMC Research Notes RESEARCH ARTICLE Open Access Splenic injuries at Bugando Medical Centre in northwestern Tanzania a tertiary hospital experience 1 1 t 1 t 1 t 1 t Phillipo L Chalya Joseph B Mabula Geofrey Giiti Alphonce B Chandika Ramesh M Dass Mabula D Mchembe2t and Japhet M Gilyoma1t Abstract Background Splenic injuries constitute a continuing diagnostic and therapeutic challenge to the trauma or general surgeons practicing in developing countries where sophisticated imaging facilities are either not available or exorbitantly expensive. The purpose of this review was to describe our own experience in the management of the splenic injuries outlining the aetiological spectrum injury characteristics and treatment outcome of splenic injuries in our local environment and to identify predictors of outcome among these patients. Methods A prospective descriptive study of splenic injury patients was carried out at Bugando Medical Centre in Northwestern Tanzania between March 2009 and February 2011. Statistical data analysis was done using SPSS software version 17.0. Results A total of 118 patients were studied. The male to female ratio was 6.4 1. Their ages ranged from 8 to 74 years with a median age of 22 years. The modal age group was 21-30 years. The majority of patients 89.8 had blunt trauma and road traffic accidents 63.6 were the most frequent cause of injuries. Most patients sustained grade III 39.0 and IV 38.1 splenic injuries. Majority of patients 86.4 were treated operatively with splenectomy 97.1 being the most frequently performed procedure. Postoperative complications were recorded in 30.5 of cases. The overall length of hospital stay LOS ranged from 1 day to 120 days with a median of 18 days. Mortality rate was 19.5 . Patients who had severe trauma Kampala Trauma Score II 6 and those with associated injuries stayed longer in the hospital P 0.001 whereas age of the patient

TÀI LIỆU LIÊN QUAN