Background: The leading cause of death in under 16 years old children is by accident. A correct assessment for traumatic severity will help clinicians having an appropriate treatment and improving pediatric mortality. Objectives: To assess the prognostic validity of indicators Pediatric Trauma Score (PTS), Coma Glassgow Scale (CGS) and Revised Trauma Score (RTS) during short term for pediatric trauma. Subjects and method: Using the 3 indicators to evaluate traumatic severity in 92 patients (34 female, 58 male) at the age of 1 month olds to 15 year olds, treated in emergency unit from January, 1993 to May, 1994 in CHRU de Lille. Results: There are 2 main accidents as traffic accident (70%) and fall (25%). Traumatic mechanisms are closed trauma (69%), cranial trauma (80%), orthopedic trauma (33%), chest trauma (18%), abdominal trauma (21%). CGS indicator is more sensitive but less specific than the other two indicators. Its predictive validity is significantly higher than the validity of PTS or RTS. The probability of hospitalized patients with CGS<6, when discharging with complication is 100%. Conclusion: CGS indicator and improvement of it is appropriate to children. It is the most suitable in short-term predicting the possibility of complications. PTS and RTS indicators seem to be better on evaluating preliminary traumatic severity.
Wounds and Injuries/diagnosis ; Child ;

The diagnostic strategy based on the available diagnostic equipment. However, it should base on the specific condition of each individuals and available diagnostic equipment and their efficacy. From which the guideline of proper diagnosis was introduced for each hospital.
Diagnosis ; Abdominal Injuries ; Wounds and Injuries

20 patients with vascular lesion due to trauma diagnosed by the angiography in ViÖt §øc hospital in 1998. The position of lesions included the popliteal artery (8), femoral artery (4), iliac artery (3), subclavian artery (1), bronchial artery (1), and the arteries in the leg (3). In these cases, the angiography helped the timely indication before occurring the irreversible ischemia
injuries ; Angiography ; diagnosis ; Wounds and Injuries

A retrospective study was conducted concerning the analysis of data. Trauma were classified according to Moore'standard and the locations of the wound were identified according to T«n ThÊt Tïng. To diagnose, ultrason was used commonly. Most of cases were treated surgically and the technique were described in details. Mortality was 13.13% and the complications comprised of hemorrhagia, under diaphragm abscess, bile perforation, pleuresia, infection of the wound and renal failure
Liver ; Wounds and Injuries ; diagnosis ; therapeutics

The generalization of some comments about the role of imaging examination in diagnosis of renal trauma as non-preparative adominal tomography: has less value in diagnosis of renal trauma but helps to detect metanephric duct stone. Intravenous urography (UIV): these imagings are main to evaluate the rest of renal function, prevention of cases of traumatic renal excision, has less value in diagnosis of renal trauma. Adominal ultrasound: to detect suggestive signs of internal haemorrhage due to solid viscera breaking in abdomen. CT scan has an important role, to help identifying with or without renal trauma, the level of renal lesions, with or without other viscera lesions. Renal angiography: to block selectively vessels to make haemostatic in some cases of haemorrhage due to renal trauma. MRI is recommended for patients with contraindication of absolute using contrast media
Wounds and Injuries ; kidney ; diagnosis ; Therapeutics

At Ha Noi, Dong Da Hospital from June 1999 to September 2002, 17 patients aged 15-60 years old (13 males, 4 females) were diagnosed injured chronical peripediculitis by clinical signs and dental X ray local image. Contusion causes occured with higher rate, 13/17 patients (76.5%) have had occlusion conlusion, mainly in 15-24 years old range 10/17 patients (58.8%). Contusion causes injury mainly occured in incisirus teeth 13/17 patients (76.5%). After 3 months treatment in 2/17 patients (11.8%) injured lesions were healed.
Therapeutics ; Wounds and Injuries ; Diagnosis ; Contusions

Some remarks on the clinical and paraclinical characteristics of lung-pleural wound with hematothorax and pneumothorax. The study was carried out retrospectively (60 patients) and prospective (20 patients) on lung-pleural wound with hematothorax and pneumothorax at the Department of Field Surgery in Military Hospital 103 during 1990-2001. Results showed that:- 50% of patients were admitted to hospital with shock, mainly shock of slight and average level.-Clinical characteristics were thoracodynia in wounded side (100%), dyspnea (83.75%), respiratory murmur decrease (100%).- Thoraci radiography showed clear image of hematothorax and pneumothorax in 90.5% of patients. – In 100% patients with ultrusound method, blood was identified in pleural cavity
Lung ; Pneumothorax ; Radiography, Thoracic ; diagnosis ; Wounds and Injuries

Humans ; Maxillofacial Injuries ; diagnosis ; surgery ; Wounds, Gunshot ; diagnosis ; surgery

The authors reported results of management of warfire craniocerebral abscesses in 53 cases from 1980-1995. The rate of abscess was 16.3%. Retained materials found: bone only 58.49%; both metal and bone: 7.54%; metal only 5.66%; none: 28.30%. Characteristics of abcess: thick capsula: 37.74%; numerous focuses of pus: 15.78%; open abscesses: 50.95%. Organisms found in culture of pus of abscess (23/36 cases: 63.88%) gram positive: 52.17%, gram negative 47.83%). Methods of management: urgent removal of abcess capsula: 71.72%; puncture-aspiration: 1.88% pus drainage: 18.86%; conservative treatment: 4.54%. The overall mortality was 20.76%. The postoperative mortality rate rate was: 13.22%.
diagnosis ; therapeutics ; brain abcess ; Wounds and Injuries ; war ; Social Problems

A study on 696 patients with the mandibullar condylar fracture due to the trauma in the institute of the odonto stamotology and facio maxilogy during 1992-1996 was carried out to determine the cause, age, gender, position of fracture, clinical features and methods of the treatment. The results found that the early and presise diagnosis gave a good efficacy of the treatment and prevented from complications
Mandibular Condyle ; Mandibular Fractures ; diagnosis ; therapeutics ; Wounds and Injuries