RESUMO
Acid base changes are common in surgical patients. The present study was conducted in 50 seriously ill surgical patients over a period of 56 hours. A wide range of pH was observed with 72% observations outside the normal limits. Alkalosis was observed in 44% of total observations while acidosis was noted in 28%. A higher mortality was seen in cases with alkalosis.
Assuntos
Desequilíbrio Ácido-Base/sangue , Feminino , Humanos , Concentração de Íons de Hidrogênio , Masculino , Complicações Pós-Operatórias , Prognóstico , Procedimentos Cirúrgicos Operatórios/efeitos adversosRESUMO
Penetrating injuries of the chest with emphasis on the policy of selective management in 150 cases, 145 males and 5 females, with age ranging from 5-60 years were reviewed. Chest pain and breathlessness were the commonest presenting features. Haemorrhagic shock and haemoptysis were noted in 30% and 20% cases respectively. Fire arms injury was the leading cause of chest trauma, being present in 80 (53.33%) cases. Except for 6 (3 cases had superficial stab wounds and 3 died on way to operation theatre), all patients (144) needed surgical intervention (tube thoracostomy drainage in 110 and major operation in 34 patients). There were 7 deaths in this study; massive haemorrhage was the cause of death in 4 and septic shock in 3 cases. An overall success rate of 95.34% was observed in this series.