RESUMO
A case of a blunt heart trauma in a 21 year-old man (driver) is reported. The man died in a motor-vehicle accident where he sustained aortic valve rupture and a number of non-cardiac injuries including life-threatening ones (hip fracture and left-hand side hemopneumothorax). His ribs remained intact. The fatal outcome was due to tears of papillary muscles in the left and right ventricles and rupture of the right atrial wall that resulted in microthromboembolization of brain vessels.
Assuntos
Acidentes de Trânsito , Traumatismos Cardíacos/patologia , Embolia Intracraniana/patologia , Traumatismo Múltiplo/patologia , Tórax , Adulto , Evolução Fatal , Traumatismos Cardíacos/complicações , Humanos , Embolia Intracraniana/etiologia , MasculinoRESUMO
The microscopic and histostereometric examinations of specific features of blood circulation in the lungs (in lethal cases) performed during the early period after combined trauma showed pronounced disturbances of blood circulation in body organs which had a certain sequence in the development of vascular reactions and vascular temporal dynamics. The influence of a preceding alcoholic intoxication and intensive hemorrhage on the circulatory dynamics was demonstrated.
Assuntos
Medicina Legal , Pulmão/irrigação sanguínea , Traumatismo Múltiplo/fisiopatologia , Ferimentos não Penetrantes/fisiopatologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Pulmão/fisiopatologia , Masculino , Pessoa de Meia-Idade , Fluxo Sanguíneo RegionalRESUMO
The authors share their know-how of surgical treatment of severe forms of scoliosis by the method of Cartel Armstrong. Evaluation of the results within 2 years (the period of the greatest loss of correction) demonstrated greater efficiency of this method as compared with operation after Harrington with application of one fixing device or distractor with lateral traction.
