ABSTRACT
BACKGROUND: The concept of mandatory laparotomy in treating traumatic peritonitis has been increasingly questioned recently. AIM: To summarize and share the experience of conservative treatment of patients with multi-trauma induced peritonitis. METHODS: A retrospective review was performed on patients with multiple injury induced traumatic peritonitis. RESULTS: A total of 184 patients with multiple injury induced traumatic peritonitis were reviewed. 46 of them underwent conservative treatment. None of the 46 patients with conservative treatment switched to surgical treatment, and all of them were cured and discharged after successful conservative treatment. No significant abnormal findings were observed at regular follow-up after discharge. CONCLUSION: Conservative management is safe, effective, feasible, and beneficial in hemodynamically stable patients with traumatic peritonitis if there is no definite evidence of severe abdominal visceral organ injury.
ABSTRACT
In order to explore the spatial and temporal changes in spatial patterns and source changes in heavy metals in Xiangzhou District, 395 and 326 soil samples were collected from cultivated soil in Xiangzhou District in November 2009 and November 2019, respectively. The contents of Cr, Pb, As, Hg, and Cd during these two years were measured. The spatial pattern and variation distribution of five types of heavy metals during these two years were obtained by using the empirical Bayesian Kriging (EBK) method. The effect (q-statistic) of 19 environmental factors and 5 types of heavy metals was calculated by using the geographical detector model (GDM), and the changes over the two years were compared. The results showed that compared with that in 2009, the heavy metal contents of Cr, Pb, Hg, and As in Xiangzhou District were decreased as a whole in 2019, whereas the Cd content increased overall. The spatial differentiation of heavy metals in the soil in Xiangzhou District in 2019 was more complicated than that in 2009. Pb, Hg, and Cd in the south and Hg in the central urban area and surrounding areas also increased. The content of each element decreased to the north and northwest. Compared with that in 2009, the explanatory power of natural factors and the distance between pollution enterprises on the single factor of the five soil heavy metal contents in 2019 decreased, and the influence on the contents under the control of single factors decreased significantly. The superposition influence of human activity factors increased, especially the distance between residential land, road, and land for pollution enterprises and environmental factors on soil heavy metal elements. These results indicated that the changes in soil heavy metal sources in 2019 tended to be complex, with structural factors as the main influencing factor. The influence of the emission of polluting enterprises on heavy metal elements decreased, whereas the influence of human activities on heavy metal content increased.
Subject(s)
Mercury , Metals, Heavy , Soil Pollutants , Humans , Soil/chemistry , Soil Pollutants/analysis , Bayes Theorem , Cadmium , Lead , Environmental Monitoring/methods , Metals, Heavy/analysis , Spatial AnalysisABSTRACT
To investigate the effects of Spartina alterniflora invasion on mangrove wetland ecosystem, the benthic crustacean and fish samples were collected using cage nets in Zhangjiang Estuary Mangrove Wetland, Fujian Pro-vince in August 2020, January and April 2021. The five sampling sites included two mangroves (Avicennia marina and Kandelia obovata) sites, two S. alterniflora sites, and one mudflat site. The abundance, biomass, index of relative importance (IRI), Shannon diversity index (H), Pielou evenness index (J), and Margalef richness index (D) were used to quantify the dominant species and species diversity of benthic crustaceans and fishes. The functional groups and niche of dominant species were also analyzed. A total of 37 species, from 2 phyla, 2 classes, 8 orders, and 17 families, were identified across the three seasons. Most of them were warm-water and euryhaline species, mainly carnivorous and omnivorous functional groups. The results of two-way analysis of variance and NMDS showed that the community diversity index of benthic crustacean and fish did not change significantly after the invasion of S. alterniflora compared with mudflat. Functional groups had changed significantly, with the species number of plankton functional groups, carnivorous and phytophagous functional groups being increased. Compared with mangrove sites, the number of species of benthic crustacean and fish in S. alterniflora sites was significantly increased. The spatio-temporal niche breadth of dominant species ranged from 0 to 1.4186, with Liza carinata (1.4186), Bostrychus sinensis (1.0168), Metapenaeus ensis (0.9469) and Exopalaemon carinicauda (0.8922) as the top four species.
