Ferimento provocado por arma branca impactada em região maxilofacial: relato de caso / Injury caused by spiked stab wound in the maxillofacial region: case report

A agressão física é uma das maiores causas de atendimento nas emergências hospitalares. Afetando, principalmente, jovens do gênero masculino, elas resultam em acometimento do complexo maxilofacial, entretanto ferimentos a faca impactada nessa região são incomuns, e o conhecimento acerca de suas peculiaridades é fundamental para o tratamento. Cuidados acerca da manutenção das vias aéreas e da hemodinâmica do paciente bem como os aspectos neurológicos, oftalmológicos e vasculares fazem parte desse tratamento interdisciplinar. Assim, o objetivo deste trabalho foi relatar o tratamento de um paciente do gênero masculino em meia-idade, acometido por ferimento de arma branca, com uma faca impactada em região maxilofacial... (AU)

Physical agression is a major cause of hospital care in emergencies. Affecting mainly young males, they result in impairment of the maxillofacial complex. However stab wounds impacted this region are uncommon and knowledge of its peculiarities is essential for treatment. Care about the maintenance of airway and hemodynamic parameters as well as neurological, ophthalmological and vascular aspects are part of this interdisciplinary treatment. The objective of this study was to report the treatment of a male patient in middle age, affected by stab wound with a knife impacted in the maxillofacial region... (AU)

Non-operative management for liver trauma (a report of 66 cases) / 中国普通外科杂志

Objective To investigate the clinical significance and indications of non operative management for liver trauma(LT). Methods The clinical date of 66 cases of LT treated by non operation from November 1987 to November 2000 were retrospectively analyzed. Results There were 38 cases (57.6%) in class I of LT, 18(27.3%) in class II, 10(15.2%) in class III in this series. 64 cases were cured (97.0%), including 2 cases combined with active bleeding were converted to operation and curred; 2 cases (3.0%) died of combining with severe brain damag. 4 cases(6.1%) complicated with liver abscess were cured by non operative treatment. Conclusions The non operative management is suitable for all cases of class I, II and partial cases of class III of LT. The observation of blood dynamics is most important, and B-type ultrasonography is also imporant, The operation would be done if the case is combined with massive active bleeding.