نام كاربري
كلمه ورود
درخواست عضویت
کلمه ورود را فراموش کرده ام

صاحب امتیاز:جامعه جراحان ایران
مدیر مسئول:دکتر ایرج فاضل
سردبیر: دکتر مصطفی جابـرانصاری
مدیر اجرایی:دکتر شیوا گلشنی

آدرس:تهران - دفتر مرکزی جامعه جراحان ایران-خیابان میرداماد- شماره 175-
کد پستی:1919913961
تلفن:30-26401420
دورنگار:22271119
پست الکترونیک:info@ijs.ir

صفحه نخست :: بخش مدیریت نشریهصفحه قبل

Journal Title: پاییز 99
Article title: Relationship between Acute Gastric Dilation and Loss of Consciousness in Trauma Patients

Article PDF File:
Page From: 47 To: 54      

Article abstract:
Introduction & Objective: Trauma is one of the most common causes of death in the world. Acute gastric dilation (AGD) and its associated complications in trauma patients have been relatively less studied. The aim of this retrospective study was to find out more about the prevalence of AGD in high-energy trauma patients and its potential relationship with loss of consciousness. Materials & Methods: 177 high-energy trauma patients, who were eventually managed in ICU, were selected and AGD was evaluated in these cases. Age, gender, consciousness level using Glasgow coma scale (GCS), and AGD presence were analyzed to test the hypotheses. Results: The studied sample included 157 (88.7%) male and 20 (11.3 %) female patients making a total of 177 out of which 22 expired in the hospital. Age range was between 3 month to 88 years (Mean = 34.4). Prevalence of AGD was 62.1% and a moderate negative relationship was found between GCS and acute gastric dilation (n = 153, P = 0.000). Conclusions: Results of the analyses show that there is a negative relationship between AGD and GCS meaning that patients with lower GCS experience a higher risk of AGD. The highest incidence rate of AGD was found in patients with a GCS score of 13 and 14 and it was only observed in 17 out of 51 patients with a GCS of 15. Thus we concluded that a mild decrease in GCS can potentially lead to AGD. Furthermore, there was a mild negative relationship between age and AGD meaning that older patients have a higher chance of developing AGD.

Article KeyWords:
High-energy Trauma, Acute Gastric Dilation, Aspiration Pneumonia, GCS

Article Authors:
دکتر منوچهر ابراهیمیانFirst Authormanoochehrebrahimian@gmail.com
دکتر روزبه شدیدی اصیلOther Author
دکتر مهرنوش کیالاشکیOther Author
دکتر امیر زمانیOther Author
دکتر اسماعیل حاجی نصراللهOther Author




بالای صفحه
صفحه اصلی  |  تماس با ما  |  آرشیو مجله  |  نقشه سایت  |  عضویت  |  ارسال مقاله  |  پیگیری مقاله

استفاده از مطالب این سایت با ذکر نام سایت مجاز می باشد   -   Copyright © 2007, 2009 - Last Update 5-11-2009
Powered By www.itpco.net    www.itpco.ir
( ITPCO ) شرکت توسعه انفورماتیک ایران
تولید کننده سیستم های تخصصی مدیریت نشریات و همایش ها و مورد تائید کمیسیون نظارت بر نشریات پزشکی وزارت بهداشت درمان و آموزش پزشکی کشور