ABSTRACT
Introdução: Acidentes de trânsito (AT) são uma das principais causas de trauma no mundo. No Brasil, a taxa de mortalidade de motociclistas envolvidos em AT aumentou de forma significante entre 2004 e 2014: de 2,8 para 6,2 óbitos respectivamente por 100 mil habitantes. Objetivos: caracterizar o perfil sociodemográfico e clínico de motociclistas vítimas de Acidentes de Trânsito atendidos no Hospital de Base de São José do Rio Preto (2016 a 2018); identificar o perfil comportamental desses pacientes e rastrear sintomas de transtornos mentais. Métodos: pacientes envolvidos em acidentes com motocicleta (motoristas), atendidos no Pronto Atendimento da Cirurgia do Hospital de Base de São José do Rio Preto, SP, Brasil, foram convidados a participar do estudo e responderam aos seguintes instrumentos: Mini International Neuropsychiatric Interview (MINI) e Inventário de Auto-Avaliação para Adultos (ASR). O Banco de Dados da Unidade de Trauma do Hospital de Base forneceu as infomações do prontuário para a construção do perfil sociodemográfico e clínico (referentes às lesões do trauma) do paciente. Resultados: Os participantes (n = 40) eram principalmente do sexo masculino, com média de idade de 33,83 anos (± 12,95) e baixa escolaridade; 13 relataram dirigir após ingestão de bebida alcoólica. A maioria apresentou lesões leves. Foram identificados (ASR e MINI) problemas externalizantes e internalizantes, violação de regras, queixas somáticas, abuso de álcool e de crack. Conclusão: Entre os motociclistas acidentados houve predominância de jovens do sexo masculino com baixa escolaridade, maior prevalência de lesões nas extremidades e no abdomem, uso de álcool associado à direção e presença de sintomas de transtornos mentais internalizantes e externalizantes.
Introduction: Motorcycle accidents are the main causes of trauma in the world. In Brazil, death rates of motorcyclists involved in traffic accidents have increased significantly from 2004 to 2014, going from 2.8 to 6.2 deaths per 100 thousand inhabitants. Objectives: To characterize the sociodemographic and clinical profile of traffic accidents victims involved in motorcycle accidents referred to Hospital de Base, São José do Rio Preto, S.P., Brazil, from 2016 to 2018; To identify the behavioral profile of these patients, and trace symptoms of mental disorders. Methods: Patients involved in a motorcycle accident (riders) who received medical attention at the emergency surgery service at Hospital de Base were invited to participate the study. All participants signed the informed consent form. We used the following instruments: Mini International Neuropsychiatric Interview (MINI) and the Adult Self-Assessment Inventory (ASAI). Patients' files were retrieved from the Trauma Unit registries in order to build a sociodemographic and clinical profile of the patient, as well as any medical information. Results: We included 40 participants, mainly men with a mean of age 33.83±12.95 years and lower scholar degree; 13 participants reported driving after drinking alcohol. Most had mild injuries. Externalizing and internalizing problems, infringement of rules, somatic complaints, as well as alcohol and crack abuse were identified. Conclusion: Among crashed motorcycle riders, there was a predominance of young men with low education and higher prevalence of injuries to the extremities and abdomen. We also concluded that the participants presented the use of alcohol associated with motorcycle riding, as well as the presence of symptoms of internalizing and externalizing mental disorders.
Subject(s)
Humans , Male , Female , Accidents, Traffic , Motorcycles , Crack Cocaine , Substance-Related Disorders , Alcoholism , Educational Status , Health Risk Behaviors , Mental DisordersABSTRACT
Os traumatismos vasculares que acometem a artéria subclávia são pouco comuns no que se refere ao trauma fechado. Geralmente vem associados a lesões de múltiplos órgãos. Apresenta-se, a seguir, um caso de paciente jovem, masculino, vítima de acidente motociclístico. Chegou com sinais de hipovolemia na Unidade de Emergência devido a hemorragia intra abdominal e hematoma expansivo da região subclávia-axilar esquerda, necessitou de tratamento cirúrgico imediato. No relato do caso observa-se dar ênfase ao atendimento inicial realizado dentro dos princípios do ATLS (Advanced Trauma Life Support), tratamento definitivo, com laparotomia exploradora e exploração arterial subclávia esquerda, com enfoque às dificuldades e possibilidades de acesso cirúrgico
Subject(s)
Humans , Male , Adolescent , Subclavian Artery/injuries , Subclavian Artery/surgeryABSTRACT
The papillary cystic and solid tumor of the pancreas is rare. It occurs predominantly in young women and most present a benign behavior. The most common clinical sign is a large palpable abdominal mass. The pathogenesis of this tumor has attracted a number of investigations but remains unclear. We present a 18 year old white woman with abdominal mass detected after cesarian. Clinical examination showed minimal tenderness. There was no history of weight loss or jaundice. Haematological parameters were normal, except anaemia. The computed tomography was performed and surprisingly showed a 10cm mass in the region of the tail of the pancreas. An extended distal pancreatectomy was performed with splenic preservation. The patient had an uneventful recovery and two months later remains asymptomatic