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Contusion

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9481. Pulmonary contusion in severe head trauma patients: impact on gas exchange and outcome. (Abstract)

Pulmonary contusion in severe head trauma patients: impact on gas exchange and outcome. To evaluate the impact on morbidity and mortality of pulmonary contusion in multiple-trauma patients with severe head trauma.Matched-paired, case-control studyICU at a tertiary university hospital.During a 3-year period, 313 consecutive multiple-trauma patients with severe head trauma (Glasgow coma scale [GCS], contusion, defined by the clinical context and the result of a chest CT scan, was diagnosed in 90 patients. Analysis was performed on 90 pairs who were matched with 100% success.Ninety patients (29%) presented a diagnosis of pulmonary contusion. The presence of pulmonary contusion had an impact on the PaO(2)/fraction of inspired oxygen

2003 Chest

9482. Intra-aortic balloon counterpulsation for cardiogenic shock due to cardiac contusion in an elderly trauma patient. (Abstract)

Intra-aortic balloon counterpulsation for cardiogenic shock due to cardiac contusion in an elderly trauma patient. Blunt thoracic trauma may cause cardiac contusion and cardiogenic shock resistant to inotropic support. The use of intra-aortic balloon counterpulsation (IABCP) as a mechanical means of augmenting cardiac function following cardiac contusion is rare with case reports largely limited to its use in young trauma patients. We describe the case of a frail, 80-year-old woman who suffered (...) cardiac contusion in a motor vehicle crash. She developed cardiogenic shock with electrocardiograph changes, elevated troponin T and severe global dysfunction on echocardiography. She was successfully managed with invasive monitoring, inotropic support and IABCP. This case provides support for aggressive resuscitation even in the very elderly as recovery from severe cardiac contusion may be possible.

2002 Resuscitation

9483. Differential effects of atrial natriuretic peptide on the brain water and sodium after experimental cortical contusion in the rat. Full Text available with Trip Pro

Differential effects of atrial natriuretic peptide on the brain water and sodium after experimental cortical contusion in the rat. Atrial natriuretic peptide (ANP) plays an important role in the regulation of water and sodium in the body via cyclic GMP (cGMP) pathway. Although ANP has been shown to be protective in cerebral ischemia or intracerebral hemorrhage, its role in traumatic brain injury (TBI) has yet to be elucidated. We herein assessed ANP effects on brain water and sodium in TBI (...) . Controlled cortical impact (3 mm depth, 6 m/sec) was used to induce an experimental cortical contusion in rats. Continuous administration of ANP 0.2 (n = 6) or 0.7 microg/kg/24 h (n = 6), cGMP analogue (8-Bromo-cGMP) 0.1 (n = 5) or 0.3 mg/kg/24 h (n = 5), or vehicle (n = 6) was begun 15 minutes after injury, using a mini-osmotic pump implanted into the peritoneal cavity. At 24 hours after injury, ANP significantly exacerbated brain edema in the injured hemisphere in a dose-dependent manner while

2003 Journal of Cerebral Blood Flow and Metabolism

9484. Delayed complications after myocardial contusion Full Text available with Trip Pro

Delayed complications after myocardial contusion A 45 year old farmer was kicked in the chest by a horse. In the days following the injury episodic breathlessness developed and he was admitted to hospital with right ventricular failure and pulmonary emboli. Echocardiography showed global right ventricular dysfunction but a right ventricular mural thrombus, the likely source of the pulmonary emboli, was not seen. He gradually recovered after treatment with anticoagulant. One month later he (...) presented with a further complication--complete atrioventricular dissociation--that required a dual chamber pacemaker implantation. This patient had few initial manifestations of right ventricular myocardial contusion and this case illustrates that such patients should be closely monitored for delayed complications.

1992 British Heart Journal

9485. Glial swelling following human cerebral contusion: an ultrastructural study. Full Text available with Trip Pro

Glial swelling following human cerebral contusion: an ultrastructural study. The ultrastructural features of cerebral contusion seen three hours to 11 days after head injury were studied in 18 patients undergoing surgery. Massive astrocytic swelling ("cytotoxic" oedema) was seen three hours to three days after injury, maximal in perivascular foot processes, and compressing some of the underlying capillaries. The tight junctions were not disrupted. Neuronal damage was most marked three to 11

1991 Journal of neurology, neurosurgery, and psychiatry

9486. Concrete induced cardiac contusion. Full Text available with Trip Pro

Concrete induced cardiac contusion. A previously fit 22 year old man was struck in the chest by a concrete block dropped through the windscreen of his car while he was driving on the motorway. He suffered extensive chest wall trauma and lung contusion, which subsequently precipitated acute respiratory distress. On admission ECG showed right bundle branch block and left axis deviation. Three days later QRS duration was normal but there was anterior ST segment elevation and subsequent T wave (...) and has made an asymptomatic recovery. Outpatient echocardiography two months after the injury demonstrated some recovery in overall left ventricular systolic function and no evidence of the intracardiac mass. This case illustrates some of the typical features of non-fatal cardiac contusion associated with non-penetrating cardiac trauma, and was complicated by partial thickness avulsion of a strip of the myocardium in the interventricular septum.

1997 Heart

9487. Combined posterior contusion and penetrating injury in the pig eye. I. A natural history study. Full Text available with Trip Pro

Combined posterior contusion and penetrating injury in the pig eye. I. A natural history study. 7171530 1983 02 14 2018 11 13 0007-1161 66 12 1982 Dec The British journal of ophthalmology Br J Ophthalmol Combined posterior contusion and penetrating injury in the pig eye. I. A natural history study. 793-8 Gregor Z Z Ryan S J SJ eng EY 02061 EY NEI NIH HHS United States EY 03040 EY NEI NIH HHS United States Journal Article Research Support, U.S. Gov't, P.H.S. England Br J Ophthalmol 0421041 0007 (...) -1161 IM Animals Contusions complications physiopathology Eye Injuries physiopathology Female Male Retina physiopathology Swine Vitreous Body physiopathology Wound Healing Wounds, Penetrating complications physiopathology 1982 12 1 1982 12 1 0 1 1982 12 1 0 0 ppublish 7171530 PMC1039931 Am J Ophthalmol. 1966 Sep;62(3):465-77 5920430 Invest Ophthalmol. 1969 Jun;8(3):290-301 5772720 Am J Ophthalmol. 1972 Dec;74(6):1034-56 4678701 Br J Ophthalmol. 1974 Feb;58(2):126-40 4820984 Albrecht Von Graefes Arch

1982 The British journal of ophthalmology

9488. Combined posterior contusion and penetrating injury in the pig eye. II. Histological features. Full Text available with Trip Pro

Combined posterior contusion and penetrating injury in the pig eye. II. Histological features. The main histological features observed after an experimental posterior contusion injury in the pig eye were haemorrhage from the choroidal vessels into the subretinal space and into the vitreous, uveal vessel dilatation, and an inflammatory reaction. These changes resolved during the first 2 weeks, and the subretinal haemorrhage was replaced by a fibrocellular membrane. The addition of a posterior

1982 The British journal of ophthalmology

9489. Increased incidence of cardiac contusion in patients with traumatic thoracic aortic rupture. Full Text available with Trip Pro

Increased incidence of cardiac contusion in patients with traumatic thoracic aortic rupture. 2757428 1989 08 29 2018 11 13 0003-4932 210 2 1989 Aug Annals of surgery Ann. Surg. Increased incidence of cardiac contusion in patients with traumatic thoracic aortic rupture. 252-4 Ammons M A MA Moore E E EE Moore F A FA eng Comment Letter United States Ann Surg 0372354 0003-4932 AIM IM Ann Surg. 1988 Nov;208(5):615-8 3190288 Accidents, Traffic Aorta, Thoracic injuries Aortic Rupture complications (...) etiology therapy Contusions complications etiology Heart Injuries complications etiology Humans Intra-Aortic Balloon Pumping 1989 8 1 1989 8 1 0 1 1989 8 1 0 0 ppublish 2757428 PMC1357851 J Trauma. 1984 Feb;24(2):166-7 6694244 Ann Thorac Surg. 1987 Oct;44(4):422-3 3662693

1989 Annals of Surgery

9490. The appearance of kissing contusion in the acutely injured knee in the athletes Full Text available with Trip Pro

The appearance of kissing contusion in the acutely injured knee in the athletes Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. Contusions of both surfaces of the joint are known as kissing contusions.To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint.255 MRI examinations in athletes with acutely injured knees (197 men; 58 women; mean age 24.2 years) were reviewed (...) by two independent examiners; 219 MRIs were done within the first month after the injury and 36 within two to four months. None of the knees had been injured before. No fractures were present on x ray.Bone contusions were diagnosed in 71 cases (27.8%); 55 (22.5%) were identified as single contusions and 16 (6.3%) as kissing contusions. Eight of the kissing contusions were associated with anterior cruciate ligament tears, three with menisceal tears, four were isolated lesions, and one was delayed

2004 British Journal of Sports Medicine

9491. Myocardial contusion: emergency investigation and diagnosis Full Text available with Trip Pro

Myocardial contusion: emergency investigation and diagnosis Cardiac contusion is an infrequent but occasionally serious complication of deceleration injury. According to ATLS teaching, the true diagnosis of contusion can only be established by direct inspection of the myocardium. The clinically important sequelae of myocardial contusion are hypotension and arrhythmia. Despite recent advances in investigative techniques, myocardial trauma remains an important diagnostic and management challenge

2002 Emergency Medicine Journal : EMJ

9492. Choroidal ischaemic infarction following ocular contusion with small framed spectacles: Hutchinson-Siegrist-Neubauer- syndrome Full Text available with Trip Pro

Choroidal ischaemic infarction following ocular contusion with small framed spectacles: Hutchinson-Siegrist-Neubauer- syndrome 12386104 2002 12 13 2018 11 13 0007-1161 86 11 2002 Nov The British journal of ophthalmology Br J Ophthalmol Choroidal ischaemic infarction following ocular contusion with small framed spectacles: Hutchinson-Siegrist-Neubauer- syndrome. 1319 Viestenz A A Küchle M M eng Comment Letter England Br J Ophthalmol 0421041 0007-1161 IM Br J Ophthalmol. 2002 Apr;86(4):484

2002 The British journal of ophthalmology

9493. Effects of the Novel NMDA Receptor Antagonist Gacyclidine on Recovery From Medial Frontal Cortex Contusion Injury in Rats Full Text available with Trip Pro

Effects of the Novel NMDA Receptor Antagonist Gacyclidine on Recovery From Medial Frontal Cortex Contusion Injury in Rats Gacyclidine, a novel, noncompetitive NMDA receptor antagonist, was injected (i.v.) into rats at three different doses to determine if the drug could promote behavioral recovery and reduce the behavioral and anatomical impairments that occur after bilateral contusions of the medial frontal cortex (MFC). In the Morris water maze, contused rats treated with gacyclidine (...) neurons in untreated contused rats than in gacyclidine-treated rats. Increases in the size and number of microglia and astrocytes were observed in the striatum of gacyclidine-treated contused brains. Although most consequences of MFC contusions were attenuated, we still observed increases in ventricle dilation and thinning of the cortex. In fact, the ventricles of rats treated with 0.1 mg/kg of gacyclidine were larger than those of their vehicle treated counterparts, although we observed no behavioral

2000 Neural plasticity

9494. Increased incidence of cardiac contusion in patients with traumatic thoracic aortic rupture. Full Text available with Trip Pro

Increased incidence of cardiac contusion in patients with traumatic thoracic aortic rupture. A retrospective analysis of all patients with traumatic thoracic aortic rupture (TAR) admitted to the hospital over a consecutive 10-year period was performed in order to define the incidence, morbidity, and mortality of associated cardiac contusion (CC) in patients with TAR. Of the 13 patients with TAR, eight (62%) had associated CC. All patients with CC had two or more of the following positive

1988 Annals of Surgery

9495. Suspected myocardial contusion. Triage and indications for monitoring. Full Text available with Trip Pro

Suspected myocardial contusion. Triage and indications for monitoring. Although many different tests are used to diagnose myocardial contusion, the clinical implications of the diagnosis are unclear. This makes it difficult to decide which patients require admission to a monitored bed. During 16 months, 3010 patients with blunt trauma were reviewed for evidence of sequelae attributable to myocardial contusion. None of 2204 admissions to unmonitored beds had evidence of serious arrhythmias (...) or heart failure. No patient who died after admission had myocardial contusion at autopsy. Of the 644 admissions to monitored beds, 95 had workups for suspected contusion. Heart failure not obvious on admission did not occur and there were only four arrhythmias that required treatment. Conduction abnormalities on admission electrocardiogram predicted serious arrhythmias. Echocardiography and creatine phosphokinase isoenzyme levels, although frequently positive, did not predict morbidity. Clinically

1990 Annals of Surgery

9496. Bilateral corneal contusion and angle recession caused by an airbag. Full Text available with Trip Pro

Bilateral corneal contusion and angle recession caused by an airbag. 8695576 1996 09 03 2018 11 13 0007-1161 80 5 1996 May The British journal of ophthalmology Br J Ophthalmol Bilateral corneal contusion and angle recession caused by an airbag. 487 Michaeli-Cohen A A Neufeld M M Lazar M M Geyer O O Haddad R R Kashtan H H eng Case Reports Letter England Br J Ophthalmol 0421041 0007-1161 IM Accidents, Traffic Adult Air Bags adverse effects Corneal Injuries Female Gonioscopy Humans Vision

1996 The British journal of ophthalmology

9497. [Distortions and contusions of the limbs. Clinical evaluation of treatment with Vonum cutan ointment]. (Abstract)

[Distortions and contusions of the limbs. Clinical evaluation of treatment with Vonum cutan ointment]. The efficacy of Vonum cutan ointment was tested in a clinical trial on 56 patients with distortions and contusions of the upper and lower extremities over a period of 1 week. Prompt relief from pain and a rapid reduction in swelling resulted from topical treatment with Vonum cutan ointment. No serious side effects were observed.

1984 Zeitschrift fur Rheumatologie

9498. Combined posterior contusion and penetrating injury in the pig eye. III. A controlled treatment trial of vitrectomy. Full Text available with Trip Pro

Combined posterior contusion and penetrating injury in the pig eye. III. A controlled treatment trial of vitrectomy. A controlled trial of vitrectomy following combined experimental posterior contusion and penetrating eye injury was performed on a group of pigs at 1 day, 2 weeks, and at 10 weeks after the initial injury. Severe intraoperative haemorrhage occurred in 5 eyes operated on at day after injury and in one eye operated on at 2 weeks after injury, but no haemorrhage occurred when

1983 British Journal of Ophthalmology

9499. Continuous oscillation therapy for the treatment of pulmonary contusion. (Abstract)

Continuous oscillation therapy for the treatment of pulmonary contusion. Pulmonary contusion as a result of blunt trauma carries significant morbidity and mortality. In an attempt to improve therapy, a prospective study was performed in which 30 patients were randomized to either receive or not receive continuous oscillation therapy on the Kinetic Treatment Table. Pulmonary contusion was defined by mechanism of injury (blunt trauma secondary to a motor vehicle accident), hypoxemia

1992 The American surgeon Controlled trial quality: uncertain

9500. [An evaluation of the efficacy of nitrates (transdermal and peroral) in the management of the patient with a myocardial contusion]. (Abstract)

[An evaluation of the efficacy of nitrates (transdermal and peroral) in the management of the patient with a myocardial contusion]. Although thoracic trauma is frequently accompanied by myocardial injury; this later is often oversighted at early stages of trauma and misdiagnosed by the time complications are present. Myocardial abnormalities have been attributed to a reduction of cardiac flow. Nitroglycerin and isosorbide dinitrate, both agents with a known vasodilator effect on coronary (...) arteries, might improve myocardial ischemic resulting from traumatic contusion. In order to compare safety and efficacy between two nitrates and placebo on myocardial contusion resulting from thoracic trauma, we carried out a comparative, prospective, single blind study. Subjects were randomly allocated to one of the following 3 groups: a) transdermal nitroglycerin, b) isosorbide dinitrate and c) placebo. Medication was dispensed for five days. Major endpoint were electrocardiographic abnormalities

1995 Archivos del Instituto de Cardiología de México Controlled trial quality: uncertain

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