Traumatisme

Cuprins disertatie Cum descarc?

?ntr?du??r?.4
??????LUL ? 
?R?UM????M?L? ??R?????. D??GN????? S? ?R???M?N?.6
1.1 ?l???f???r?? tr?um?t??m?l?r t?r?????.8
1.2 ??ntuz??l? t?r???lu?.9
1.2.1 ?t??l?g?? s? ???t?m?t?z?r?.9
1.2.2 F?z????t?l?g??.10
1.2.3 D??gn??t??.12
1.2.4 Ma?ur? d? urg?nta.14
1.3 F?rm? ?n?t?m?-?l?n???.14
??????LUL ??
?N???M?? ??R???LU?.29
???I??LUL III
??R??? ?R????I?A-M???RI?L? SI M???D?.45
???I??LUL V
R??UL????L? ??UDIULUI.47
??n?luzii.58
Bibli?gr?fi?.71


Extras din disertatie Cum descarc?

?ntr?du??r?
?r?um? ??t? ? ?r???u??r? m???ra ??ntru ?i?t?m?l? d? ?anat?t? din intr??g? lum? si ?r?b?bil un? dintr? ??l? m?i ??ri???? ?r?bl?m? ?u ??r? ?? ??nfrunta taril? d?zv?lt?t?, tr?um?ti?m?l? fiind un? din ?rin?i??l?l? ??uz? d? d???? ???t? 40 d? ?ni, ?tingand ?nu?l in ?ur??? ???t? 800.000 m?rti, i?r in ?t?t?l? Unit? ?l? ?m?ri?ii 39 m?rti/100.000 l??uit?ri.
??nf?rm ?t?ti?ti?il?r ?M?, 5 mili??n? d? ??m?ni ?u murit in ?nul 2000 din ??uz? tr?um?ti?m?l?r, ????t?? r??r?z?ntand ??r??im?tiv 9% din m?rt?lit?t?? ?nu?la. Vi?l?nt? ??t? r????n??bila d? ???t? 50% din m?rt?lit?t?? ???ttr?um?ti?a, ?tingand ? v?l??r? d? 1,6 mili??n? d? m?rti in 2000, in tim? ?? ???id?nt?l? ruti?r? ?unt r????n??bil? d? 1,2 mili??n? d? m?rti/?n.
Urmand ????ri?nt? m?i mult?r tari (?t?t?l? Unit?, ??n?d?, Fr?nt?, M?r?? Brit?ni?, N?rv?gi?, ?l?nd?, ????ni? ?t?.), d?t?rita ?itu?ti?i ?riti?? ? ?i?t?mului tr?diti?n?l d? ?mbul?nta, ?-? infiint?t si in R?mani?, in 1990, l? ?argu-Mur?s, ?rimul ??rvi?iu ?MURD (??rvi?iul M?bil d? Urg?nta, R??nim?r? si D????r??r?r?).
In ?r?z?nt ????t ??rvi?iu ? f??t ??tin? in ??ntr? din intr??g? t?ra, i?r in Bu?ur?sti, ?argu-Mur?s si I?si fun?ti?n??za in ?tran?a ??l?b?r?r? ?u Unit?t?? ????i?la d? ?vi?ti? ? MIR?.
Fara ?????ta int?gr?r? ? ??rvi?iil?r im?li??t? ?? ???t? ?i?rd? tim? ?r?ti?? ??r? ???t? ???t? vi?t? vi?tim?i.
????t? ?r??u?un? un ?i?t?m ?fi?i?nt d? ??muni??r?, tr?n???rt r??id, tri?? ?fi?i?nt si ???rd?r? ? ?rimului ??ut?r l? l??ul ???id?ntului, ??rvi?iu d? urg?nta in ??it?l ?r?gatit n?n-?t?? ??ntru ?rimir?? vi?tim?l?r, di?gn??ti? si tr?t?m?nt d? ????i?lit?t?. ???t? ????t?? ?? ??t r??liz? ?u ? ??hi?a multidi??i?lin?ra, ???rd?n?ta d? m?di?ul tr?um?t?l?g.
In zil?l? n???tr? nim?ni nu m?i ??nt??ta r?lul m?di?ului r?di?l?g in ?????ta ,,?ur?a" ??ntr? ?r?n?m?tru ??ntru ??lv?r?? un?i vi?ti.
In?int? d? intr?du??r?? in uz ? ???gr?fi?i (UU?) si ? ??m?ut?r t?m?gr?fi?i (??), int?rv?ntiil? ?hirurgi??l? ???l?r?t?rii ?r?u l?rg utiliz?t?.
??rf??ti?n?r?? t?hni?il?r im?gi?ti?? ? influ?nt?t f??rt? mult m?n?g?m?ntul di?gn??ti? si t?r???uti? ?l ???i?ntil?r.
Utiliz?r?? ?? ?u ??ntr??t iv ? ??ntribuit l? ? m?i buna ??l??t?r? ? ???i?ntil?r ??r? ?a b?n?fi?i?z? d? int?rv?nti? ?hirurgi??la, l? r?du??r?? ??mnifi??tiva ? numarului d? l?ziuni ?u ??t?nti?l ri?? vit?l ??r? ?r fi ?utut raman? n?di?gn??ti??t?, ?r??um si l? ???lud?r?? d? l? b#%l!^+a??f??tu?r?? ?ngi?gr?fi?i ? unui numar im??rt?nt d? ???i?nti l? ??r? r?di?gr?fi? t?r???lui ridi?a ?u??i?iun?? d? h?m?r?gi? m?di??tin?la.
Intr?du??r?? ?? ???ra t?t m?i l?rga, in ultimii ?ni ? ??hi??m?nt?l?r ?? multi-?li??, ? ??rmi? ?btin?r?? d? d?t? t?t m?i ??m?l?t? du?a ???n?r?? r??ida ? intr?gului ??r?, urm?ta d? ???t?r?????r?? im?ginil?r ?u ???ibilit?t?? d? r???n?tru?tii M?R, MI?, VR, 3D.
?????ta t?hn?l?gi? n?ua ? r?d?finit r?lul si l??ul ???m?nului r?di?l?gi? ?t?nd?rd si ? ???gr?fi?i in ?v?lu?r?? tr?um?ti?m?l?r m???r?.
In ??it?l?l? ??m?l?t d?t?t?, wh?l?-b?d? MD?? ? d?v?nit ? inv??tig?ti? l?rg utiliz?ta in ??zul ???i?ntil?r ?t?bili h?m?din?mi?. In mult? ?lt? ?itu?tii, d???rt?m?ntul ?? nu ??t? in?lu? in ??l d? urg?nta si, ?? urm?r?, nu ??t? l? f?l d? ?????ibil. In ????t? ?ir?um?t?nt?, ?r?t???lul im?gi?ti? tr?bui? ?d??t?t fi??ar?i ?itu?tii.
??????LUL ? b#%l!^+??
?R?UM????M?L? ??R?????. D??GN????? S? ?R???M?N?
????ta d?f?r?nt? ?m??rt?nt? intr? tar? s? ?h??r intr? r?g?un?, in r???rt ?u ?t??l?g?? tr?um?t??m?l?r t?r?????, d? ???m?lu, in ?fr??? d? ?ud r???ul d? ? fi n?ungh??t ??u im?us??t ??t? d? 1 l? 20 ??ntru un ?dult d? ??? m???ul?n ?ub 30 d? ?n?. In ?ur???, ??uz? ?r?n????la ? l?z?un?l?r tr?um?t??? t?r????? ??t? d?ta d? ????d?nt?l? rut??r?.
?r?n????l?l? ??uz? ?l? l?z?un?l?r tr?um?t??? t?r????? ?unt :
-????d?nt? rut??r? (18, 24) - intr? 60-70%;
- ????d?nt? d? mun?a - 15-20%;
- ????d?nt? ???n??? - 15-20%;
- ????d?nt? d? ???rt - 2%;
?r?n????l?l? m???n??m? d? ?r?du??r? ? tr?um?t??m?l?r t?r????? ?unt:
- ????l?r?r?/d???l?r?r? (????d?nt? rut??r? ??l m?? fr??v?nt) - ???t? 70% d?n ??tu?t?? (18, 24);
- ??m?r???un? (?tr?v?r?);
- ?m???t d?r??t (d? ??. l?v?tura d?r??ta ?u un ?b???t ??nt?nd?nt);
- l?z?un? ?r?n ?rm? ?lb?-(?lag?);
- ?m???tul ?u ?r????t?l? d? m?r? v?t?za (?rm? d? f??);
- ???l?z?? (bl??t ??ndr?m);
- d?v?r?? (?l??tr??ut??, ?r?ur?, l?z?un? ??u?t??? ?t?).


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Imagini din aceasta disertatie Cum descarc?

Bibliografie

1. B?UMG?RN?R F., ?H???RD B. - ?r??h??l ?nd m?in br?n?hi?l di?ru?ti?n? ?ft?r blunt ?h??t tr?um?: ?r???nt?ti?n ?nd m?n?g?m?nt, ?nn?l? ?f ?h?r??i? ?urg?r?, 1990.
2. BIQU?T ?.F., D?ND?LING?R R.F., R?L?ND D. - ??m?ut?d t?m?gr??h? ?f th?r??i? ??rt? tr?um?, ?ur????n R?di?l?g?, 6:25, 1996.
3. BR?WN?R .BD., ?U?IT?R ?.B., L?VIN? ?.M., ?R?FT?N ?.G. - ?k?l?t?l ?r?um?: b#%l!^+a?Fr??tur??, Di?l???ti?n?, Lig?m?nt?u? In?uri??, W.B. ??und?r? ??., 841-2, 947-1027, 1998.
4. ?H?N ?.D., ?H?NMUG?N?TH?N ?., MIRVI? ?.?. ?T ?L. - U?ing ?? t? di?gn??? tr??h??l ru?tur?, ?.?.R., 2000.
5. D?NI? F. - ??in?l in?t?bilit? ?? d?fin?d b? th? thr?? ??lumn ??in? ??n???t in ??ut? ??in?l tr?um?, ?lin. ?th??., 189-65, 1984.
6. DI?K?N??N D. - ?h?r??i? tr?um? in ?hildr?n, ?riti??l ??r? Nur?ing ?lini?? ?f N?rth ?m?ri??, 3:423-32, 1991.
7. H?LM? ?.?., K??L?N ?.?. - H?w t? im?g? th? ??in?, Mu??ul??k?l?t?l MRI, ?hil?d?l?hi?, 2001.
8. HUGG?TT ?.M., R?Z?L?R M.H. - ?? finding? ?f ?t?rn?l fr??tur?, In?ur?, 29:623, 1998.
9. K?RR M., M???N??HI? I. - ???di?tri? ?h??t tr?um? (??rt 1) - Initi?l L?th?l In?uri??, ?r?um?, 10:183, 2008.
10. KILL??N K.L., MIRVI? ?.?., ?H?NMUG?N?TH?N K. - H?li??l ?? ?f di??hr?gm?ti? ru?tur? ??u??d b? blunt tr?um?, ?.?.R., 173:1611, 1999.
11. L?? R.B. - ?r?um?ti? in?ur? ?f th? ??rvi??-th?r??i? tr??h??? ?nd m???r br?n?hi, ?urg?r? ?lini?? ?f N?rth ?m?ri??, 7:285, 1997.
12. L??N?RD ?. K., D?VID ?. WH?N? - ?B? im?ging in tr?um?, Bl??kw?ll ?ubli?hing, 2010.
13. LI??HT?N?T?IN D.?., M?ZI?R? G. - Ultr???und di?gn??i? ?f ???ult ?n?um?th?r??; ?riti??l ??r? M?di?in?, 2005.
14. MIRVI? ?.?., BIDW?LL ?.K., BUDD?M???R ?.U. - V?lu? ?f th? ?h??t r?di?gr??h? in ???luding tr?um?ti? ??rti? ru?tur?, R?di?l?g?, 163:487, 1987.
15. MIRVI? ?.?., K??TUBI?K I., WHITL?? N. ?T ?L. - R?l? ?f ?? in ???luding ?f m???r ?rt?ri?l in?ur? ?ft?r blunt th?r??i? tr?um?, ?.?.R., 149:601, 1987.
16. MIRVI? ?.?., ?H?NMUG?N?TH?N K., Im?ging in tr?um? ?nd ?riti??l ??r?, R?di?l?g? 2003.
17. ?'BRI?N ?.M., D?TT?RB??K F.?., KI???R ?.?. - Blunt tr??h??br?nhi?l in?uri??: tr??tm?nt ?nd ?ut??m??, ?nn. ?f ?h?r??i? ?urg?r?, 71:2059, 2001.
18. ?IM???N ?., L?B? D.N., ?H?H ?.B. - ?r?um?ti? di??hr?gm?ti? ru?tur?: ?????i?t?d in?uri?? ?nd ?ut??m?, ?nn?l? R?di?l?g? ?urg?r? ?ngli?h, 82:97, 2000.
19. ?MITH M.W., R??D ?.D., F???? R., HL?ING ?., M?G?? ?., HI?K? B.M. ?T ?L. - ?h? r?li?bilit? ?f n?nr???n?tru?t?d ??m?ut?riz?d t?m?gr??hi? ???n? ?f th? ?bd?m?n ?nd ??lvi? in d?t??ting th?r???lumb?r ??in? in?uri?? in blunt tr?um? ??ti?nt? with ?lt?r?d m?nt?l ?t?tu?, ??urn?l ?f B?n? ??int ?urg?r? ?f ?m?ri??, 2009.
20. UNG?R ?.M., ??HU?HM?NN G.?. - ???r? ?f th? tr??h??? ?nd m?in br?n?hi ??u??d b? blunt tr?um?: r?di?l?gi? finding?, ?.?.R., 153:1175, 1989.
21. W?GN?R R.B. ?T ?L. - ?l???ifi??ti?n ?f th? ??r?n?h?m?l in?uri?? ?f th? lung, R?di?l?g?, 1988.
22. ??H?RI? ?., G??RG???U ?.?. - Ghid d? di?gn??ti? r?di?l?gi? dif?r?nti?l, 1998.


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