The question of liver injury have long attracted the attention of surgeons due to the difficulty of diagnosis, especially if it is combined with injuries of other abdominal organs, chest, skull, spine, musculoskeletal system, the complexity of surgical procedures, severe clinical course and high mortality (up to 70 %).
The purpose of this study was to determine the prevalence of brand viagra online liver injury and analysis for emergency surgical care to these victims according to forensic Kursk for the period from 2000 to 2003. with subsequent statistical processing.
In 2000, the proportion of liver injury by the total number of autopsies was 2.6% in 2001 - 2,4% in 2002 - 5,3% in 2003 - 4,1%.
In 338 (92%) of 366 victims has been a closed liver damage in 28 (8%) - open. Combined injuries encountered in 261 (71%) case.
For 4 years the number of men was 269 (73%), women - 97 (27%).
According to the forensic chemical generic viagra examination of 146 (40%) suffered at the time of the injury in a state of intoxication.
Mechanisms of injury were: road transport injury in 182 (49.7%) affected, falling from height in 68 (18,6%), hit with a blunt object in 49 (13,4%), railway injury in 36 (10%), knife injured in 21 (5.7%), gunshot wounds in 7 (1,8%), explosive injury in 2 (0.5%). One (0.3%) suffered liver injury was obtained in a plane crash.
The cause of death in 150 (41%) suffered was traumatic shock, 73 (20%) - bleeding, in 143 (39%) - a combination of traumatic and hemorrhagic shock.
When a blunt trauma injury of the right lobe of the liver was noted in 212 (58%) patients (10 times more often brand name levitra than the left), left lobe in 21 (5%), both lobes in 105 (29%), ligamentous apparatus in 57 (14%) cases. Crush injury of the liver tissue encountered in 48 (13%) affected.
39 (11%) patients with blunt liver trauma died in a surgical hospital. Of those operated on 16 (4,5%). In the first hour after admission were operated on 6 (1.7%) patients, up to two hours - 6 (1,7%), up to three hours - 4 (1,1%). The remaining 23 (6.5%) suffered cialis without prescription damage to abdominal organs has not been diagnosed. During their stay in hospital after admission and before death ranged from one hour to four days.
Thus, the prevalence of liver injury remains high and has a tendency to increase, which is probably associated with decreased social well-being of society, increase traffic and criminal injuries. Much of the defects associated hospital period, in many cases with atypical course of injury due to intoxication.
We should also note generic levitra that men are injured in 2,8 times more often than women. The complexity of the morphological structure of the liver causes a variety of injuries, which is also the reason for the lack of a universal classification and requires further research.
a peck of salt
healing process
abnormal pregnancy risk
autoimune syndrome
ليست هناك تعليقات:
إرسال تعليق