期刊,中华创伤杂志（英文版） 2020年卷1期_国家学术搜索

期刊信息/Journal information

中华创伤杂志（英文版）

主　　编：王正国

出版周期：双月刊

国际刊号：1008-1275

电子邮箱：cjtrauma@163.com

电　　话：023-68757483

邮政编码：400042

地　　址：重庆市渝中区大坪长江支路10号

中华创伤杂志（英文版）/Journal Chinese Journal of TraumatologyCSCDCSTPCD北大核心

查看更多>>中华医学会主办，中华医学会创伤学分会承办。本刊是全英文高级学术刊物，是中华医学会系列杂志之一。主要对外报道我国创伤学及相关学科的成果与进展，全面反映我国创伤医学的成就与水平，促进和指导我国创伤学研究的发展，提高临床救治水平；同时将国外相应领域进展及动态介绍给中国读者。它使中国的创伤医学走向世界，使外国读者了解中国，促使国内外创伤医学的交流与合作。

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Risk factors associated with the progression of extra-axial hematoma in the original frontotemporoparietal site after contralateral decompressive surgery in traumatic brain injury patients

Peng ChenYong-Bing DengXi HuWei Zhou...

45-50页

查看更多>>摘要：Purpose:To introduced our experience with progressive extra-axial hematoma (EAH) in the original frontotemporoparietal (FTP) site after contralateral decompressive surgery (CDS) in traumatic brain injury patients and discuss the risk factors associated with this dangerous situation.Methods:This retrospective study was conducted on 941 patients with moderate or severe TBI treated in Daping Hospital,Army Medical University,Chongqing,China in a period over 5 years (2013-2017).Only patients with bilateral lesion,the contralateral side being the dominant lesion,and decompressive surgery on the contralateral side conducted firstly were included.Patients were exclude if (1) they underwent bilateral decompression or neurosurgery at the original location firstly;(2) although surgery was performed first on the contralateral side,surgery was done again at the contralateral side due to rebleeding or complications;(3) patients younger than 18 years or older than 80 years;and (4) patients with other significant organ injury or severe disorder or those with abnormal coagulation profiles.Clinical and radiographic variables reviewed were demographic data,trauma mechanisms,neurological condition assessed by Glasgow coma scale (GCS) score at admission,pupil size and reactivity,use of mannitol,time interval from trauma to surgery,Rotterdam CT classification,type and volume of EAH,presence of a skull fracture overlying the EAH,status of basal cistern,size of midline shift,associated brain lesions and types,etc.Patients were followed-up for at least 6 months and the outcome was graded by Glasgow outcome scale (GOS) score as favorable (scores of 4-5) and unfavorable (scores of 1-3).Student's t-test was adopted for quantitative variables while Pearson Chi-squared test or Fisher's exact test for categorical variables.Multivariate logistic regression analysis was also applied to estimate the significance of risk factors.Results:Initially 186 patients (19.8％) with original impact locations at the FTP site and underwent surgery were selected.Among them,66 met the inclusion and exclusion criteria.But only 50 patients were included because the data of the other 16 patients were incomplete.Progressive EAH developed at the original FTP site in 11 patients after the treatment of,with an incidence of 22％.Therefore the other 39 patients were classified as the control group.Multivariate logistic regression analysis showed that both the volume of the original hematoma and the absence of an apparent midline shift were significant predictors of hematoma progression after decompressive surgery.Patients with fracture at the original impact site had a higher incidence of progressive EAH after CDS,however this factor was not an important predictor in the multivariate model.We also found that patients with progressive EAH had a similar favorable outcome with control group.Conclusion:Progressive EAH is correlated with several variables,such as hematoma volumes ≥10 mL at the original impact location and the absence of an apparent midline shift (＜5 mm).Although progressive EAH is devastating,timely diagnosis with computed tomography scans and immediate evacuation of the progressive hematoma can yield a favorable result.

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Clinical predictors of abnormal chest CT scan findings following blunt chest trauma: A cross-sectional study

Saeed SafariMelina FarbodHamidreza HatamabadiMahmoud Yousefifard...

51-55页

查看更多>>摘要：Purpose:Some surgeons believe that chest computed tomography (CT) scan should be used more prudently in management of blunt chest trauma patients.This study aimed to evaluate the clinical predictors of abnormal chest CT scan findings in trauma patients.Methods:This cross-sectional study was conducted on blunt chest trauma patients aged ≥18 years who were referred to the emergency departments of two educational hospitals and underwent chest CT scan.These patients were enrolled in the study using a non-probability sampling method.The exclusion criteria included:class Ⅲ or Ⅳ hemodynamic shock,need for immediate surgical or neurosurgical interventions,penetrating trauma,lack of required information,and pregnancy.Demographic factors,accident details,trauma mechanism,vital signs,and level of consciousness in predicting abnormal chest CT scan findings were evaluated.Analysis was performed using IBM SPSS statistics 21.Results:A total of 977 patients (male 51.5％,female 48.5％) with the mean age of (41.71 ± 14.24) years,range 18-88 years were studied;34.2％ of them with high energy trauma mechanism.With 334 (34.2％) patients had abnormal findings on chest X-ray (CXR) and 332 (34.0％) cases had an abnormal findings on chest CT scan (agreement rate was 99.4％).There was a significant correlation between male gender (p ＜ 0.0001),GCS＜15 (p ＜ 0.0001),high energy trauma mechanism (p ＜ 0.0001),unstable hemodynamics (p ＜ 0.01),and clinical signs and symptoms (p ＜ 0.0001) with chest CT findings.Chest wall deformity (odds =8;p ＜ 0.0001),generalized tenderness (odds =6.6,p ＜ 0.0001),and decreased cardiac sound (odds =3.8,p ＜ 0.0001) were the important and independent clinical predictors of abnormal chest CT scan findings.Conclusion:Based on the findings,chest wall deformity,generalized tenderness,decreased cardiac sound,distracting pain,chest wall tenderness,high energy trauma mechanism,male gender,respiratory rate ＞ 20 breathes/min,decreased pulmonary sound,and chest wall crepitation were independent clinical predictors of abnormal chest CT scan findings following blunt trauma.

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Radiological study of the Asian coracoid process and clavicle: Implications for coracoclavicular ligament reconstruction

Chi Loong JenDong Hao ToonChung Hui Tan

56-59页

查看更多>>摘要：Purpose:Iatrogenic coracoid and clavicle fracture is a known complication of drilling bone tunnels during anatomic coracoclavicular ligament reconstruction (ACCR).This study aims to measure the dimensions of coracoid process and clavicle in an Asian population to evaluate the suitability of drilling coracoid and clavicle tunnels for ACCR in Asians.Methods:Width measurements of 196 coracoids and 189 clavicles were obtained after reviewing all computed tomography (CT) scans of the shoulder performed over a 6 years period.Coracoid measurements were made on the CT slice which showed the maximum cross sectional width of the coracoid base.Medial to lateral measurements of the coracoid width were taken on an axial view,4 mm above the identified junction of the coracoid base and glenoid base.Antero-posterior clavicle width was measured through a point directly above the midpoint of the coracoid and perpendicular to the long axis of the clavicle.Results:The overall mean coracoid width was 14.8 mm ± 2.54 mm (range 9.2-23.3 mm) and clavicle width was 17.1 mm ± 2.72 mm (range 11.1-25.3 mm).Conclusion:The Asian coracoid process is smaller than its Western equivalent.More research is required to validate this conclusion as no cadaveric studies with equivalent measurement techniques have been performed on Asians.Given the potentially narrower dimensions of the Asian coracoid process,extra precautions are required to minimize the risk of iatrogenic coracoid and clavicle fractures.

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Osteochondral autograft transfer (mosaicplasty) for treatment of patients with osteochondral lesions of talus

Amir SabaghzadehFateme MirzaeeHeydar Shahriari RadFateme Bahramian...

60-62页

查看更多>>摘要：Purpose:Osteochondral lesion of talus (OLT) is one of the common causes of ankle pain.This disorder is common in young athletes after ankle injury.There are various therapeutic options.One of the options is mosaic plasticizer.The purpose of this study was to investigate the effect of mosaicplasty on improvement of symptoms of patients with osteochondral lesions of talus.Methods:Nineteen patients with osteochondral lesions of talus participated in this study,who were treated with mosaicplasty.Before and after treatment,pain (visual analogue scale),function (American Orthopaedic Foot and Ankle Society),range of motion and radiographic signs were evaluated.Results:The results of this study showed that mosaicplasty could significantly reduce pain,increase function and improve radiographic symptoms.The range of motion increased after treatment,which was not significant.Conclusion:We can confirm the effect of mosaicplasty on the improvement of patients with osteochondral lesions of the ankle,suggesting it as a treatment option.

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